LORISSA A WALZ
Advanced Practice Registered Nurse


Address: 21 Fernwood Road, Hamden, CT 06517

LORISSA A WALZ (Credential# 680494) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2002. The license expiration date date is December 31, 2003. The license status is INACTIVE.

Business Overview

LORISSA A WALZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002316. The credential type is advanced practice registered nurse. The effective date is November 1, 2002. The expiration date is December 31, 2003. The business address is 21 Fernwood Road, Hamden, CT 06517. The current status is inactive.

Basic Information

Licensee Name LORISSA A WALZ
Credential ID 680494
Credential Number 12.002316
Credential Type Advanced Practice Registered Nurse
Business Address 21 Fernwood Road
Hamden
CT 06517
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-06-30
Effective Date 2002-11-01
Expiration Date 2003-12-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
567717 10.063707 Registered Nurse 2000-06-29 2000-06-29 - 2000-12-31 INACTIVE

Office Location

Street Address 21 Fernwood Road
City Hamden
State CT
Zip Code 06517

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Keleann T Tamaki 165 Ridge Road, Hamden, CT 06517 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City Hamden
Zip Code 06517
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + Hamden

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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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