TARA M CONSEVICH
Licensed Practical Nurse


Address: 2558 Whitney Ave Apt C, Hamden, CT 06518-3045

TARA M CONSEVICH (Credential# 674689) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2010. The license expiration date date is July 31, 2011. The license status is INACTIVE.

Business Overview

TARA M CONSEVICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.030888. The credential type is licensed practical nurse. The effective date is July 1, 2010. The expiration date is July 31, 2011. The business address is 2558 Whitney Ave Apt C, Hamden, CT 06518-3045. The current status is inactive.

Basic Information

Licensee Name TARA M CONSEVICH
Credential ID 674689
Credential Number 11.030888
Credential Type Licensed Practical Nurse
Business Address 2558 Whitney Ave Apt C
Hamden
CT 06518-3045
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE
Issue Date 2005-02-09
Effective Date 2010-07-01
Expiration Date 2011-07-31
Refresh Date 2011-11-07

Office Location

Street Address 2558 WHITNEY AVE APT C
City HAMDEN
State CT
Zip Code 06518-3045

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Aviva D Wertkin 2558 Whitney Ave Bldg 2, Hamden, CT 06518-3045 Naturopathic Physician 2013-11-01 ~ 2014-10-31
Jared W Demarco 2558 Whitney Ave Apt D, Hamden, CT 06518-3045 Registered Nurse 2012-02-01 ~ 2013-01-31

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Competitor

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City HAMDEN
Zip Code 06518
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + HAMDEN

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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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