JESSICA A FANTASIA
Registered Nurse


Address: 1 Central Ave Ste 202, Tarrytown, NY 10591-3301

JESSICA A FANTASIA (Credential# 1118407) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2013. The license expiration date date is August 31, 2014. The license status is INACTIVE.

Business Overview

JESSICA A FANTASIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.109287. The credential type is registered nurse. The effective date is September 1, 2013. The expiration date is August 31, 2014. The business address is 1 Central Ave Ste 202, Tarrytown, NY 10591-3301. The current status is inactive.

Basic Information

Licensee Name JESSICA A FANTASIA
Credential ID 1118407
Credential Number 10.109287
Credential Type Registered Nurse
Business Address 1 Central Ave Ste 202
Tarrytown
NY 10591-3301
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-12-07
Effective Date 2013-09-01
Expiration Date 2014-08-31
Refresh Date 2014-12-04

Office Location

Street Address 1 CENTRAL AVE STE 202
City TARRYTOWN
State NY
Zip Code 10591-3301

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Competitor

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City TARRYTOWN
Zip Code 10591
License Type Registered Nurse
License Type + County Registered Nurse + TARRYTOWN

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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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