MIRIAM AMANDA SMITH
Registered Nurse - Temporary


Address: 2909 Gunther Ave, Bronx, NY 10469-3317

MIRIAM AMANDA SMITH (Credential# 1066640) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is April 17, 2012. The license expiration date date is August 15, 2012. The license status is INACTIVE.

Business Overview

MIRIAM AMANDA SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.105290-TEMP. The credential type is registered nurse - temporary. The effective date is April 17, 2012. The expiration date is August 15, 2012. The business address is 2909 Gunther Ave, Bronx, NY 10469-3317. The current status is inactive.

Basic Information

Licensee Name MIRIAM AMANDA SMITH
Credential ID 1066640
Credential Number 10.105290-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 2909 Gunther Ave
Bronx
NY 10469-3317
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2012-04-17
Effective Date 2012-04-17
Expiration Date 2012-08-15
Refresh Date 2012-08-16

Other licenses

ID Credential Code Credential Type Issue Term Status
1066680 10.105296-TEMP Registered Nurse - Temporary 2012-04-17 2012-04-17 - 2012-08-15 INACTIVE
1066492 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 2909 GUNTHER AVE
City BRONX
State NY
Zip Code 10469-3317

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City BRONX
Zip Code 10469
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + BRONX

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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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