MARYAM GAIBI
Registered Nurse


Address: 54 Mohican Hill Rd, Fairfield, CT 06825-2325

MARYAM GAIBI (Credential# 1220694) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MARYAM GAIBI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.119010. The credential type is registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 54 Mohican Hill Rd, Fairfield, CT 06825-2325. The current status is active.

Basic Information

Licensee Name MARYAM GAIBI
Credential ID 1220694
Credential Number 10.119010
Credential Type Registered Nurse
Business Address 54 Mohican Hill Rd
Fairfield
CT 06825-2325
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-05-22
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-19

Other licenses

ID Credential Code Credential Type Issue Term Status
1224306 10.118950-TEMP Registered Nurse - Temporary 2014-05-22 2014-05-22 - 2014-09-18 INACTIVE

Office Location

Street Address 54 MOHICAN HILL RD
City FAIRFIELD
State CT
Zip Code 06825-2325

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Benjamin Allan Gott 262 Euclid Avenue, Fairfield, CT 06825 Notary Public Appointment 2020-06-01 ~ 2025-05-31
Charles J Applebaum 841 Stratfield Rd, Fairfield, CT 06825 Dentist 2020-07-01 ~ 2021-06-30
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Competitor

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City FAIRFIELD
Zip Code 06825
License Type Registered Nurse
License Type + County Registered Nurse + FAIRFIELD

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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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