BRUCE R PROVENCHER
Registered Nurse


Address: 40 Memorial Hwy Apt 31f, New Rochelle, NY 10801-8343

BRUCE R PROVENCHER (Credential# 980279) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.

Business Overview

BRUCE R PROVENCHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.097702. The credential type is registered nurse. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 40 Memorial Hwy Apt 31f, New Rochelle, NY 10801-8343. The current status is inactive.

Basic Information

Licensee Name BRUCE R PROVENCHER
Credential ID 980279
Credential Number 10.097702
Credential Type Registered Nurse
Business Address 40 Memorial Hwy Apt 31f
New Rochelle
NY 10801-8343
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-01-10
Effective Date 2016-11-01
Expiration Date 2017-10-31
Refresh Date 2018-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
980285 10.097622-TEMP Registered Nurse - Temporary 2011-01-03 2011-01-03 - 2011-05-03 INACTIVE

Office Location

Street Address 40 MEMORIAL HWY APT 31F
City NEW ROCHELLE
State NY
Zip Code 10801-8343

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Competitor

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City NEW ROCHELLE
Zip Code 10801
License Type Registered Nurse
License Type + County Registered Nurse + NEW ROCHELLE

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David J Provencher · Provencher's Genrl Home Maint 7 Avon St Ext, Enfield, CT 06082 Home Improvement Contractor 1996-12-11 ~ 1997-11-30
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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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