KEISHAUN D FERNANDEZ
Licensed Practical Nurse


Address: 288 East Ave, Bridgeport, CT 06610-2960

KEISHAUN D FERNANDEZ (Credential# 1185098) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2015. The license expiration date date is May 31, 2016. The license status is INACTIVE.

Business Overview

KEISHAUN D FERNANDEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.038986. The credential type is licensed practical nurse. The effective date is June 1, 2015. The expiration date is May 31, 2016. The business address is 288 East Ave, Bridgeport, CT 06610-2960. The current status is inactive.

Basic Information

Licensee Name KEISHAUN D FERNANDEZ
Credential ID 1185098
Credential Number 11.038986
Credential Type Licensed Practical Nurse
Business Address 288 East Ave
Bridgeport
CT 06610-2960
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-08-08
Effective Date 2015-06-01
Expiration Date 2016-05-31
Refresh Date 2016-09-03

Office Location

Street Address 288 EAST AVE
City BRIDGEPORT
State CT
Zip Code 06610-2960

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Dawn M Jackson 298 East Ave, Bridgeport, CT 06610-2960 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30

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Competitor

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City BRIDGEPORT
Zip Code 06610
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + BRIDGEPORT

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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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