MOODY BENNETT
Registered Nurse


Address: 35 Saint Nicholas Ter Apt 6, New York, NY 10027-2847

MOODY BENNETT (Credential# 1590376) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 5, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.

Business Overview

MOODY BENNETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.153936. The credential type is registered nurse. The effective date is September 5, 2018. The expiration date is June 30, 2019. The business address is 35 Saint Nicholas Ter Apt 6, New York, NY 10027-2847. The current status is inactive.

Basic Information

Licensee Name MOODY BENNETT
Credential ID 1590376
Credential Number 10.153936
Credential Type Registered Nurse
Business Address 35 Saint Nicholas Ter Apt 6
New York
NY 10027-2847
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2018-09-05
Effective Date 2018-09-05
Expiration Date 2019-06-30
Refresh Date 2019-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1594649 10.153386-TEMP Registered Nurse - Temporary 2018-08-22 2018-08-22 - 2018-12-19 INACTIVE

Office Location

Street Address 35 SAINT NICHOLAS TER APT 6
City NEW YORK
State NY
Zip Code 10027-2847

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Victoria Sorokin 2280 Frederick Douglass Boulevard, #4j, New York, NY 10027 Physician/surgeon 2020-02-01 ~ 2021-01-31
Rachael Akiko Haver 79 West 127 St, New York, NY 10027 Emergency Medical Technician ~
Nerissa Alleyne 2 West 120th Street, New York, NY 10027 Notary Public Appointment 2013-07-19 ~ 2018-07-31
Rebecca Kowal 90 La Salle Street, New York, NY 10027 Registered Nurse 2018-08-30 ~ 2019-05-31
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Competitor

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City NEW YORK
Zip Code 10027
License Type Registered Nurse
License Type + County Registered Nurse + NEW YORK

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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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