SAMUEL A MCINTOSH JR.
Licensed Practical Nurse


Address: 282 Terrace Ave., Apt 1a, West Haven, CT 06516

SAMUEL A MCINTOSH JR. (Credential# 883983) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 21, 2009. The license expiration date date is June 30, 2010. The license status is INACTIVE.

Business Overview

SAMUEL A MCINTOSH JR. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.034379. The credential type is licensed practical nurse. The effective date is July 21, 2009. The expiration date is June 30, 2010. The business address is 282 Terrace Ave., Apt 1a, West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name SAMUEL A MCINTOSH JR.
Credential ID 883983
Credential Number 11.034379
Credential Type Licensed Practical Nurse
Business Address 282 Terrace Ave., Apt 1a
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-07-21
Effective Date 2009-07-21
Expiration Date 2010-06-30
Refresh Date 2010-10-06

Office Location

Street Address 282 Terrace Ave., Apt 1A
City West Haven
State CT
Zip Code 06516

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Dyaija Soriano 29 Ridge Court East, West Haven, CT 06516 Esthetician 2020-06-26 ~ 2022-05-31
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Competitor

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City West Haven
Zip Code 06516
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + West Haven

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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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