SUSAN KERNAN WATHEN
Registered Nurse


Address: 85 Grozier Rd, Cambridge, MA 02138-3314

SUSAN KERNAN WATHEN (Credential# 1380693) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2016. The license expiration date date is December 31, 2017. The license status is INACTIVE.

Business Overview

SUSAN KERNAN WATHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.138970. The credential type is registered nurse. The effective date is December 1, 2016. The expiration date is December 31, 2017. The business address is 85 Grozier Rd, Cambridge, MA 02138-3314. The current status is inactive.

Basic Information

Licensee Name SUSAN KERNAN WATHEN
Credential ID 1380693
Credential Number 10.138970
Credential Type Registered Nurse
Business Address 85 Grozier Rd
Cambridge
MA 02138-3314
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-12-01
Effective Date 2016-12-01
Expiration Date 2017-12-31
Refresh Date 2018-04-05

Other licenses

ID Credential Code Credential Type Issue Term Status
1380707 10.137429-TEMP Registered Nurse - Temporary 2016-09-23 2016-09-23 - 2017-01-20 INACTIVE

Office Location

Street Address 85 GROZIER RD
City CAMBRIDGE
State MA
Zip Code 02138-3314

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Robert A Lobis 69 Grozier Road, Cambridge, MA 02138-3314 Physician/surgeon 1997-10-24 ~ 1998-12-31

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City CAMBRIDGE
Zip Code 02138
License Type Registered Nurse
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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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