STEPHEN M CAMPBELL
Registered Nurse


Address: 9 Rockwood St, Jamaica Plain, MA 02130-2422

STEPHEN M CAMPBELL (Credential# 1379604) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2018. The license status is INACTIVE.

Business Overview

STEPHEN M CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.137391. The credential type is registered nurse. The effective date is July 1, 2017. The expiration date is June 30, 2018. The business address is 9 Rockwood St, Jamaica Plain, MA 02130-2422. The current status is inactive.

Basic Information

Licensee Name STEPHEN M CAMPBELL
Credential ID 1379604
Credential Number 10.137391
Credential Type Registered Nurse
Business Address 9 Rockwood St
Jamaica Plain
MA 02130-2422
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-09-21
Effective Date 2017-07-01
Expiration Date 2018-06-30
Refresh Date 2018-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1379990 10.137347-TEMP Registered Nurse - Temporary 2016-09-20 2016-09-20 - 2017-01-17 INACTIVE

Office Location

Street Address 9 ROCKWOOD ST
City JAMAICA PLAIN
State MA
Zip Code 02130-2422

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Lauren L Forni 3611 Washington Street Unit B430, Boston, MA 02130 Pharmacist 2020-02-03 ~ 2022-01-31
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Competitor

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City JAMAICA PLAIN
Zip Code 02130
License Type Registered Nurse
License Type + County Registered Nurse + JAMAICA PLAIN

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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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