PHILIP GREEN
Registered Nurse - Temporary


Address: 5 Barbery Lane, Middle Island, NY 11953

PHILIP GREEN (Credential# 1350630) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is April 28, 2016. The license expiration date date is August 25, 2016. The license status is INACTIVE.

Business Overview

PHILIP GREEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.133760-TEMP. The credential type is registered nurse - temporary. The effective date is April 28, 2016. The expiration date is August 25, 2016. The business address is 5 Barbery Lane, Middle Island, NY 11953. The current status is inactive.

Basic Information

Licensee Name PHILIP GREEN
Credential ID 1350630
Credential Number 10.133760-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 5 Barbery Lane
Middle Island
NY 11953
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2016-04-28
Effective Date 2016-04-28
Expiration Date 2016-08-25
Refresh Date 2016-08-26

Other licenses

ID Credential Code Credential Type Issue Term Status
1349922 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 5 Barbery Lane
City Middle Island
State NY
Zip Code 11953

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Chamon Thomas 39 Swezey Lane, Middle Island, NY 11953 Registered Nurse 2020-03-01 ~ 2021-02-28
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Tracyann C Francis-martin 108 Whiskey Rd, Middle Island, NY 11953 Master's Level Social Worker 2015-10-01 ~ 2016-09-30
Louis Vito Jr · R E Pustorino PC Cnslt Engr 13 Amesworth Ct, Middle Island, NY 11953 Professional Engineer 1991-01-09 ~ 1992-01-31
Naeem A Abbasi 312 Tudor Lane, Middle Island, NY 11953 Professional Engineer 2001-02-01 ~ 2002-01-31
Lili Shou 43 Bailey Court, Middle Island, NY 11953 Registered Nurse 2004-04-01 ~ 2005-03-31
Michael S Winnicki 281 Middle Country, Middle Island, NY 11953 Physician/surgeon 1993-08-25 ~ 1994-07-31
Vincent M Scioli 183 Fairview Cir, Middle Island, NY 11953 Tv & Radio Apprentice Electronic Technician 2005-09-06 ~ 2006-08-31
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Competitor

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City Middle Island
Zip Code 11953
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + Middle Island

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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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