THOMAS E PEREZ
Licensed Practical Nurse


Address: 202 S Grand Ave, Poughkeepsie, NY 12603-3415

THOMAS E PEREZ (Credential# 905568) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2016. The license expiration date date is January 31, 2017. The license status is INACTIVE.

Business Overview

THOMAS E PEREZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.034772. The credential type is licensed practical nurse. The effective date is February 1, 2016. The expiration date is January 31, 2017. The business address is 202 S Grand Ave, Poughkeepsie, NY 12603-3415. The current status is inactive.

Basic Information

Licensee Name THOMAS E PEREZ
Credential ID 905568
Credential Number 11.034772
Credential Type Licensed Practical Nurse
Business Address 202 S Grand Ave
Poughkeepsie
NY 12603-3415
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-01-04
Effective Date 2016-02-01
Expiration Date 2017-01-31
Refresh Date 2020-02-13

Other licenses

ID Credential Code Credential Type Issue Term Status
908402 11.034734-TEMP Licensed Practical Nurse - Temporary 2009-12-18 2009-12-18 - 2010-04-17 INACTIVE

Office Location

Street Address 202 S GRAND AVE
City POUGHKEEPSIE
State NY
Zip Code 12603-3415

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Ryan Eric Wallace 2 Bird Lane, Poughkeepsie, NY 12603 Registered Nurse 2020-04-22 ~ 2021-01-31
Christopher A Perito 233 South Grand Avenue, Poughkeepsie, NY 12603 Radiographer 2020-05-01 ~ 2021-04-30
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Competitor

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City POUGHKEEPSIE
Zip Code 12603
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + POUGHKEEPSIE

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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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