JOHN R WAHLBERG
Registered Nurse


Address: 75 Corey Colonial, Agawam, MA 01001-2747

JOHN R WAHLBERG (Credential# 1145342) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.

Business Overview

JOHN R WAHLBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.110099. The credential type is registered nurse. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 75 Corey Colonial, Agawam, MA 01001-2747. The current status is active.

Basic Information

Licensee Name JOHN R WAHLBERG
Credential ID 1145342
Credential Number 10.110099
Credential Type Registered Nurse
Business Address 75 Corey Colonial
Agawam
MA 01001-2747
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-02-14
Effective Date 2020-02-01
Expiration Date 2021-01-31
Refresh Date 2020-01-16

Other licenses

ID Credential Code Credential Type Issue Term Status
526796 PTN.0011422 PHARMACY TECHNICIAN 2009-02-27 2018-04-01 - 2019-03-31 INACTIVE
433900 PTN.0008164 PHARMACY TECHNICIAN 2006-03-27 2006-03-27 - 2007-03-31 EXPIRED APPLICATION

Office Location

Street Address 75 COREY COLONIAL
City AGAWAM
State MA
Zip Code 01001-2747

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Kailin M Szymanski 73 Corey Colonial, Agawam, MA 01001-2747 Emergency Medical Technician 2013-12-23 ~ 2016-10-01

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Pamela J Freeman Brown 1324 Main Street, Agawam, MA 01001 Registered Nurse 2020-09-01 ~ 2021-08-31
Ashley Erin Dimauro 25 Deer Run Road, Agawam, MA 01001 Registered Nurse ~
Lou A Fitch 60 Mallard Circle, Agawam, MA 01001 Notary Public Appointment 2015-04-01 ~ 2020-03-31
Maryanne Catanzaro · Catanzaro,leone 16 Channell Drive, Agawam, MA 01001 Registered Nurse 2020-09-01 ~ 2021-08-31
Sunhee Hwang 54 River Rd, Agawam, MA 01001 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-17 ~ 2021-10-31
Taehoon An 58 River Rd, Agawam, MA 01001 Nail Technician 2020-06-17 ~ 2022-05-31
Ji Hye Safarik 119 Albert St, Agawam, MA 01001 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-16 ~ 2022-02-28
Consuelo Ana Leblanc 39 Hunting Lane, Agawam, MA 01001 Physician/surgeon 2020-08-01 ~ 2021-07-31
Sangkeun Yi 322 Meadow St, Agwam, MA 01001 Nail Technician 2020-06-12 ~ 2022-06-30
Kyunghee Koh 56 River Road, Agawam, MA 01001 Nail Technician 2020-06-12 ~ 2021-08-31
Find all Licenses in zip 01001

Competitor

Search similar business entities

City AGAWAM
Zip Code 01001
License Type Registered Nurse
License Type + County Registered Nurse + AGAWAM

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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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