JOHANNA J LONG
POTOCKI


Address: 203 Shoddy Mill Rd, Glastonbury, CT 06033

JOHANNA J LONG (Credential# 669468) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 3, 2001. The license expiration date date is January 31, 2003. The license status is INACTIVE.

Business Overview

JOHANNA J LONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.025633. The credential type is licensed practical nurse. The effective date is December 3, 2001. The expiration date is January 31, 2003. The business address is 203 Shoddy Mill Rd, Glastonbury, CT 06033. The current status is inactive.

Basic Information

Licensee Name JOHANNA J LONG
Doing Business As POTOCKI
Credential ID 669468
Credential Number 11.025633
Credential Type Licensed Practical Nurse
Business Address 203 Shoddy Mill Rd
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-10-28
Effective Date 2001-12-03
Expiration Date 2003-01-31
Refresh Date 2009-07-08

Office Location

Street Address 203 SHODDY MILL RD
City GLASTONBURY
State CT
Zip Code 06033

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Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jennifer R Briones 90 Deerfield Drive, Glastonbury, CT 06033 Registered Nurse 2020-07-01 ~ 2021-06-30
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Yulhun Sung 245 Griswold St Unit A, Glastonbury, CT 06033 Combination Nail Technician, Esthetician Or Eyelash Technici ~
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Competitor

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City GLASTONBURY
Zip Code 06033
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + GLASTONBURY

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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