SR MARY B MATUKAS
Nursing Home Administrator


Address: 10 Thurber Road, Putnam, CT 06260

SR MARY B MATUKAS (Credential# 764770) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2017. The license status is INACTIVE.

Business Overview

SR MARY B MATUKAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.000101. The credential type is nursing home administrator. The effective date is February 1, 2015. The expiration date is January 31, 2017. The business address is 10 Thurber Road, Putnam, CT 06260. The current status is inactive.

Basic Information

Licensee Name SR MARY B MATUKAS
Credential ID 764770
Credential Number 36.000101
Credential Type Nursing Home Administrator
Business Address 10 Thurber Road
Putnam
CT 06260
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1901-01-01
Effective Date 2015-02-01
Expiration Date 2017-01-31
Refresh Date 2017-05-06

Office Location

Street Address 10 THURBER ROAD
City PUTNAM
State CT
Zip Code 06260

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Daniel P Gagne 10 Thurber Road, Putnam, CT 06260 Small Water System Operator Conditional 2007-12-19 ~ 2010-12-31

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Competitor

Search similar business entities

City PUTNAM
Zip Code 06260
License Type Nursing Home Administrator
License Type + County Nursing Home Administrator + PUTNAM

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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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