JENEVIVE T NYKOLAK
Emergency Medical Technician


Address: 570 E Pine Street, Long Beach, NY 11561

JENEVIVE T NYKOLAK (Credential# 844675) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is June 26, 2004. The license expiration date date is April 1, 2006. The license status is INACTIVE.

Business Overview

JENEVIVE T NYKOLAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.004942. The credential type is emergency medical technician. The effective date is June 26, 2004. The expiration date is April 1, 2006. The business address is 570 E Pine Street, Long Beach, NY 11561. The current status is inactive.

Basic Information

Licensee Name JENEVIVE T NYKOLAK
Credential ID 844675
Credential Number 70.004942
Credential Type Emergency Medical Technician
Business Address 570 E Pine Street
Long Beach
NY 11561
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-06-26
Effective Date 2004-06-26
Expiration Date 2006-04-01
Refresh Date 2009-07-08

Office Location

Street Address 570 E Pine Street
City Long Beach
State NY
Zip Code 11561

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City Long Beach
Zip Code 11561
License Type Emergency Medical Technician
License Type + County Emergency Medical Technician + Long Beach

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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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