PHILIP S FREEZE II
Registered Nurse - Temporary


Address: 516 Spanish Ct, Louisville, KY 40214-1419

PHILIP S FREEZE II (Credential# 1004667) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2011. The license expiration date date is October 26, 2011. The license status is INACTIVE.

Business Overview

PHILIP S FREEZE II is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.100419-TEMP. The credential type is registered nurse - temporary. The effective date is June 28, 2011. The expiration date is October 26, 2011. The business address is 516 Spanish Ct, Louisville, KY 40214-1419. The current status is inactive.

Basic Information

Licensee Name PHILIP S FREEZE II
Credential ID 1004667
Credential Number 10.100419-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 516 Spanish Ct
Louisville
KY 40214-1419
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2011-06-28
Effective Date 2011-06-28
Expiration Date 2011-10-26
Refresh Date 2011-10-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1004661 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 516 SPANISH CT
City LOUISVILLE
State KY
Zip Code 40214-1419

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City LOUISVILLE
Zip Code 40214
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + LOUISVILLE

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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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