LISSA M PEGRAM
Registered Nurse


Address: 166 Rangley Street, West Haven, CT 06516

LISSA M PEGRAM (Credential# 569721) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 28, 2004. The license expiration date date is October 31, 2005. The license status is INACTIVE.

Business Overview

LISSA M PEGRAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.065713. The credential type is registered nurse. The effective date is September 28, 2004. The expiration date is October 31, 2005. The business address is 166 Rangley Street, West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name LISSA M PEGRAM
Credential ID 569721
Credential Number 10.065713
Credential Type Registered Nurse
Business Address 166 Rangley Street
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-05-03
Effective Date 2004-09-28
Expiration Date 2005-10-31
Refresh Date 2009-07-08

Office Location

Street Address 166 Rangley Street
City West Haven
State CT
Zip Code 06516

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Monica M Skakacz 19 Cowpen Rd, West Haven, CT 06516 Registered Nurse 2020-05-01 ~ 2021-04-30
Lourdes Maribel Guzman 26 York Street, West Haven, CT 06516 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Mcdonald's · Tay Mac Dba 1129 Campbell Ave, West Haven, CT 06516 Bakery 2020-07-01 ~ 2021-06-30
Dyaija Soriano 29 Ridge Court East, West Haven, CT 06516 Esthetician 2020-06-26 ~ 2022-05-31
Katherine M Grable 13 Perry Merrill Drive, West Haven, CT 06516 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City West Haven
Zip Code 06516
License Type Registered Nurse
License Type + County Registered Nurse + West Haven

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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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