MARTHA A VAN VLIET
Registered Nurse - Temporary


Address: 366 W 3rd St, Beaumont, CA 92223-2606

MARTHA A VAN VLIET (Credential# 1053438) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is February 22, 2012. The license expiration date date is June 21, 2012. The license status is INACTIVE.

Business Overview

MARTHA A VAN VLIET is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.104492-TEMP. The credential type is registered nurse - temporary. The effective date is February 22, 2012. The expiration date is June 21, 2012. The business address is 366 W 3rd St, Beaumont, CA 92223-2606. The current status is inactive.

Basic Information

Licensee Name MARTHA A VAN VLIET
Credential ID 1053438
Credential Number 10.104492-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 366 W 3rd St
Beaumont
CA 92223-2606
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2012-02-22
Effective Date 2012-02-22
Expiration Date 2012-06-21
Refresh Date 2012-06-22

Other licenses

ID Credential Code Credential Type Issue Term Status
1053333 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 366 W 3RD ST
City BEAUMONT
State CA
Zip Code 92223-2606

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Competitor

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City BEAUMONT
Zip Code 92223
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + BEAUMONT

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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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