NICOLE C VAN LOAN
Licensed Practical Nurse


Address: 98 Union Street, Apt. 2, Johnson City, NY 13790

NICOLE C VAN LOAN (Credential# 677939) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2009. The license expiration date date is September 30, 2010. The license status is INACTIVE.

Business Overview

NICOLE C VAN LOAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.034138. The credential type is licensed practical nurse. The effective date is October 1, 2009. The expiration date is September 30, 2010. The business address is 98 Union Street, Apt. 2, Johnson City, NY 13790. The current status is inactive.

Basic Information

Licensee Name NICOLE C VAN LOAN
Credential ID 677939
Credential Number 11.034138
Credential Type Licensed Practical Nurse
Business Address 98 Union Street, Apt. 2
Johnson City
NY 13790
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-02-05
Effective Date 2009-10-01
Expiration Date 2010-09-30
Refresh Date 2011-01-04

Office Location

Street Address 98 Union Street, Apt. 2
City Johnson City
State NY
Zip Code 13790

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Guerlande Louis 10 25 Reynolds Road, Johnson, NY 13790 Physician Assistant 2017-12-01 ~ 2018-11-30
Mary M Kane 833 Grant St, Johnson City, NY 13790 Registered Nurse 2005-08-22 ~ 2006-05-31
Dominic A Offiong P.o. Box 923, Johnson City, NY 13790 Physician/surgeon 2004-07-01 ~ 2005-03-31
Joseph R Creveling 43 Haynes Ave, Johnson City, NY 13790 Lead Abatement Supervisor ~ 1999-07-31
Christina L Kelly · Relly 61 Zoa Avenue, Johnson City, NY 13790 Registered Nurse 2000-04-11 ~ 2001-04-30
Debra M Holowinski 635 Nelson Road, Johnson City, NY 13790 Dental Hygienist 1998-03-25 ~ 1999-03-31
David F Robinson 1025 Reynolds Rd, Johnson City, NY 13790 Registered Nurse 2001-07-19 ~ 2002-08-31
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Competitor

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City Johnson City
Zip Code 13790
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + Johnson City

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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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