LEO J GRUMBLATT JR
Registered Nurse


Address: 10628 Jousting Ln, Richmond, VA 23235-3839

LEO J GRUMBLATT JR (Credential# 884491) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.

Business Overview

LEO J GRUMBLATT JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.090554. The credential type is registered nurse. The effective date is May 1, 2010. The expiration date is April 30, 2011. The business address is 10628 Jousting Ln, Richmond, VA 23235-3839. The current status is inactive.

Basic Information

Licensee Name LEO J GRUMBLATT JR
Credential ID 884491
Credential Number 10.090554
Credential Type Registered Nurse
Business Address 10628 Jousting Ln
Richmond
VA 23235-3839
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-08-28
Effective Date 2010-05-01
Expiration Date 2011-04-30
Refresh Date 2011-08-02

Other licenses

ID Credential Code Credential Type Issue Term Status
884496 10.089299-TEMP Registered Nurse - Temporary 2009-07-14 2009-07-14 - 2009-11-11 INACTIVE

Office Location

Street Address 10628 Jousting Ln
City RICHMOND
State VA
Zip Code 23235-3839

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Kathleen Amos 10401 Apache Rd, Richmond, VA 23235 Registered Nurse 2011-08-01 ~ 2012-07-31
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City RICHMOND
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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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