ITA B O'SULLIVAN
CASEY


Address: 27 Crescent Avenue, Rye, NY 10580

ITA B O'SULLIVAN (Credential# 680051) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 22, 2004. The license expiration date date is January 31, 2005. The license status is INACTIVE.

Business Overview

ITA B O'SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001872. The credential type is advanced practice registered nurse. The effective date is January 22, 2004. The expiration date is January 31, 2005. The business address is 27 Crescent Avenue, Rye, NY 10580. The current status is inactive.

Basic Information

Licensee Name ITA B O'SULLIVAN
Doing Business As CASEY
Credential ID 680051
Credential Number 12.001872
Credential Type Advanced Practice Registered Nurse
Business Address 27 Crescent Avenue
Rye
NY 10580
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-07-24
Effective Date 2004-01-22
Expiration Date 2005-01-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
652119 10.R52373 Registered Nurse 1996-03-01 2004-01-22 - 2005-01-31 INACTIVE

Office Location

Street Address 27 CRESCENT AVENUE
City RYE
State NY
Zip Code 10580

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David E Gross 10 Martin Rd, Rye, NY 10580 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City RYE
Zip Code 10580
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + RYE

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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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