JUALITA MARTIN
Licensed Practical Nurse


Address: 123 N Mathews St, Roberta, GA 31078-5925

JUALITA MARTIN (Credential# 677158) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2014. The license status is INACTIVE.

Business Overview

JUALITA MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.033357. The credential type is licensed practical nurse. The effective date is March 1, 2013. The expiration date is February 28, 2014. The business address is 123 N Mathews St, Roberta, GA 31078-5925. The current status is inactive.

Basic Information

Licensee Name JUALITA MARTIN
Credential ID 677158
Credential Number 11.033357
Credential Type Licensed Practical Nurse
Business Address 123 N Mathews St
Roberta
GA 31078-5925
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-07-09
Effective Date 2013-03-01
Expiration Date 2014-02-28
Refresh Date 2014-06-09

Office Location

Street Address 123 N MATHEWS ST
City ROBERTA
State GA
Zip Code 31078-5925

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jeremy Colbert 10 Slade Dr, Roberta, GA 31078 Registered Nurse 2017-04-03 ~ 2018-04-30
Kristin A Moore 35 New St, Roberta, GA 31078-4852 Registered Nurse 2013-01-10 ~ 2013-11-30

Competitor

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City ROBERTA
Zip Code 31078
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + ROBERTA

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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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