HAZEL M DACOSTA
Licensed Practical Nurse


Address: 3030 Hone Avenue, Bronx, NY 10469

HAZEL M DACOSTA (Credential# 891061) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 20, 2009. The license expiration date date is February 28, 2010. The license status is INACTIVE.

Business Overview

HAZEL M DACOSTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.034499. The credential type is licensed practical nurse. The effective date is August 20, 2009. The expiration date is February 28, 2010. The business address is 3030 Hone Avenue, Bronx, NY 10469. The current status is inactive.

Basic Information

Licensee Name HAZEL M DACOSTA
Credential ID 891061
Credential Number 11.034499
Credential Type Licensed Practical Nurse
Business Address 3030 Hone Avenue
Bronx
NY 10469
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-08-20
Effective Date 2009-08-20
Expiration Date 2010-02-28
Refresh Date 2010-06-04

Other licenses

ID Credential Code Credential Type Issue Term Status
891059 10-TEMP Registered Nurse - Temporary - PENDING

Office Location

Street Address 3030 Hone Avenue
City Bronx
State NY
Zip Code 10469

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City Bronx
Zip Code 10469
License Type Licensed Practical Nurse
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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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