SHARLA A KOZLOWSKI
Nursing Home Administrator


Address: 4304 Bartholomew Circle, Raleigh, NC 27604

SHARLA A KOZLOWSKI (Credential# 766019) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is June 7, 2005. The license expiration date date is June 30, 2007. The license status is INACTIVE.

Business Overview

SHARLA A KOZLOWSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001784. The credential type is nursing home administrator. The effective date is June 7, 2005. The expiration date is June 30, 2007. The business address is 4304 Bartholomew Circle, Raleigh, NC 27604. The current status is inactive.

Basic Information

Licensee Name SHARLA A KOZLOWSKI
Credential ID 766019
Credential Number 36.001784
Credential Type Nursing Home Administrator
Business Address 4304 Bartholomew Circle
Raleigh
NC 27604
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-06-07
Effective Date 2005-06-07
Expiration Date 2007-06-30
Refresh Date 2009-07-08

Office Location

Street Address 4304 Bartholomew Circle
City Raleigh
State NC
Zip Code 27604

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David Alan Baylock 4900 Stillmeadow Road, Raleigh, NC 27604 Certified Public Accountant License 2012-01-01 ~ 2012-12-31
James D Bouchard 5212 Pinehall Wynd, Raleigh, NC 27604 Registered Nurse 2009-03-30 ~ 2010-03-31
Karen M Guerrette 4311 Foxhound Rd, Raleigh, NC 27604 Hairdresser/cosmetician 1993-04-23 ~ 1994-03-31
Frances K Richardson 3328 Derbyshire Pl, Raleigh, NC 27604 Registered Nurse 1995-05-04 ~ 1996-04-30
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City Raleigh
Zip Code 27604
License Type Nursing Home Administrator
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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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