DORRETH T CAMPBELL
Licensed Practical Nurse


Address: 63 Hollywood St, Springfield, MA 01108-2751

DORRETH T CAMPBELL (Credential# 1027616) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2016. The license expiration date date is December 31, 2016. The license status is INACTIVE.

Business Overview

DORRETH T CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.036525. The credential type is licensed practical nurse. The effective date is January 1, 2016. The expiration date is December 31, 2016. The business address is 63 Hollywood St, Springfield, MA 01108-2751. The current status is inactive.

Basic Information

Licensee Name DORRETH T CAMPBELL
Credential ID 1027616
Credential Number 11.036525
Credential Type Licensed Practical Nurse
Business Address 63 Hollywood St
Springfield
MA 01108-2751
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-10-14
Effective Date 2016-01-01
Expiration Date 2016-12-31
Refresh Date 2020-01-02

Office Location

Street Address 63 HOLLYWOOD ST
City SPRINGFIELD
State MA
Zip Code 01108-2751

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Competitor

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City SPRINGFIELD
Zip Code 01108
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + SPRINGFIELD

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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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