SUSAN L SHORTSLEEVE
Registered Nurse


Address: 923 Fox Rd #923, Waltham, MA 02451

SUSAN L SHORTSLEEVE (Credential# 1169273) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.

Business Overview

SUSAN L SHORTSLEEVE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.113913. The credential type is registered nurse. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 923 Fox Rd #923, Waltham, MA 02451. The current status is inactive.

Basic Information

Licensee Name SUSAN L SHORTSLEEVE
Credential ID 1169273
Credential Number 10.113913
Credential Type Registered Nurse
Business Address 923 Fox Rd #923
Waltham
MA 02451
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-10-01
Effective Date 2017-11-01
Expiration Date 2018-10-31
Refresh Date 2019-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1174216 10.112140-TEMP Registered Nurse - Temporary 2013-07-11 2013-07-11 - 2013-11-07 INACTIVE

Office Location

Street Address 923 FOX RD #923
City WALTHAM
State MA
Zip Code 02451

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Colleen K Dietter 67 Black Bear Drive # 1512, Waltham, MA 02451 Notary Public Appointment 2015-02-01 ~ 2020-01-31
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Peach Innovations, Inc. 204 Second Avenue, Waltham, MA 02451 Securities - Exemptions 2020-03-03 ~
Simpson Gumpertz & Heger Associates Inc 480 Totten Pond Road, Waltham, MA 02451 Joint Practice 2020-05-01 ~ 2021-04-30
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Competitor

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City WALTHAM
Zip Code 02451
License Type Registered Nurse
License Type + County Registered Nurse + WALTHAM

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John T Shortsleeve Jr 252 Brentwood Dr, Wallingford, CT 06492-4353 Certified Public Accountant License 2019-11-26 ~ 2020-12-31
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Susan J Cox 425 Maupas Rd, Guilford, CT 06437 Registered Nurse 1993-05-25 ~ 1994-05-31

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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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