KEITH E STUCKLESS
Registered Nurse


Address: Site 7, Box 8, Twillingate, Nf, AOG 4MO

KEITH E STUCKLESS (Credential# 568449) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 10, 2004. The license expiration date date is November 30, 2005. The license status is INACTIVE.

Business Overview

KEITH E STUCKLESS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.064439. The credential type is registered nurse. The effective date is November 10, 2004. The expiration date is November 30, 2005. The business address is Site 7, Box 8, Twillingate, Nf, AOG 4MO. The current status is inactive.

Basic Information

Licensee Name KEITH E STUCKLESS
Credential ID 568449
Credential Number 10.064439
Credential Type Registered Nurse
Business Address Site 7, Box 8
Twillingate, Nf
AOG 4MO
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-08-28
Effective Date 2004-11-10
Expiration Date 2005-11-30
Refresh Date 2009-07-08

Office Location

Street Address Site 7, Box 8
City Twillingate, NF
Zip Code AOG 4MO

Competitor

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City Twillingate, NF
Zip Code AOG 4
License Type Registered Nurse
License Type + County Registered Nurse + Twillingate, NF

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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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