KERRI R LAZUK
Licensed Practical Nurse


Address: 178 Clubhouse Rd., Lebanon, CT 06249

KERRI R LAZUK (Credential# 678007) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.

Business Overview

KERRI R LAZUK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.034206. The credential type is licensed practical nurse. The effective date is May 1, 2010. The expiration date is April 30, 2011. The business address is 178 Clubhouse Rd., Lebanon, CT 06249. The current status is inactive.

Basic Information

Licensee Name KERRI R LAZUK
Credential ID 678007
Credential Number 11.034206
Credential Type Licensed Practical Nurse
Business Address 178 Clubhouse Rd.
Lebanon
CT 06249
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-04-01
Effective Date 2010-05-01
Expiration Date 2011-04-30
Refresh Date 2011-08-02

Office Location

Street Address 178 Clubhouse Rd.
City Lebanon
State CT
Zip Code 06249

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Leslie H Cote 236 Mack Road, Lebanon, CT 06249 Notary Public Appointment 2016-06-01 ~ 2021-05-31
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Susan L Lambert 648 Tobacco St, Lebanon, CT 06249 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City Lebanon
Zip Code 06249
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + Lebanon

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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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