KATHERINE A BERGEN
Registered Nurse - Temporary


Address: 408 Benner Rd Apt 102, Allentown, PA 18104-4650

KATHERINE A BERGEN (Credential# 997923) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is May 17, 2011. The license expiration date date is September 14, 2011. The license status is INACTIVE.

Business Overview

KATHERINE A BERGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.099668-TEMP. The credential type is registered nurse - temporary. The effective date is May 17, 2011. The expiration date is September 14, 2011. The business address is 408 Benner Rd Apt 102, Allentown, PA 18104-4650. The current status is inactive.

Basic Information

Licensee Name KATHERINE A BERGEN
Credential ID 997923
Credential Number 10.099668-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 408 Benner Rd Apt 102
Allentown
PA 18104-4650
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2011-05-17
Effective Date 2011-05-17
Expiration Date 2011-09-14
Refresh Date 2011-09-15

Other licenses

ID Credential Code Credential Type Issue Term Status
997917 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 408 BENNER RD APT 102
City ALLENTOWN
State PA
Zip Code 18104-4650

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City ALLENTOWN
Zip Code 18104
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + ALLENTOWN

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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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