AVA M MARTIN
Licensed Practical Nurse


Address: 12024 Burwells Bay Road, Smithfield, VA 23430

AVA M MARTIN (Credential# 677450) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 26, 2008. The license expiration date date is August 31, 2009. The license status is INACTIVE.

Business Overview

AVA M MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.033649. The credential type is licensed practical nurse. The effective date is August 26, 2008. The expiration date is August 31, 2009. The business address is 12024 Burwells Bay Road, Smithfield, VA 23430. The current status is inactive.

Basic Information

Licensee Name AVA M MARTIN
Credential ID 677450
Credential Number 11.033649
Credential Type Licensed Practical Nurse
Business Address 12024 Burwells Bay Road
Smithfield
VA 23430
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-08-26
Effective Date 2008-08-26
Expiration Date 2009-08-31
Refresh Date 2009-12-10

Office Location

Street Address 12024 Burwells Bay Road
City Smithfield
State VA
Zip Code 23430

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Competitor

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City Smithfield
Zip Code 23430
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + Smithfield

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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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