GERALDINE BLAKE
Registered Nurse


Address: 4077 Glencoe Ave, Marina Del Rey, CA 90292

GERALDINE BLAKE (Credential# 571681) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 29, 2007. The license expiration date date is October 31, 2008. The license status is INACTIVE.

Business Overview

GERALDINE BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.067674. The credential type is registered nurse. The effective date is October 29, 2007. The expiration date is October 31, 2008. The business address is 4077 Glencoe Ave, Marina Del Rey, CA 90292. The current status is inactive.

Basic Information

Licensee Name GERALDINE BLAKE
Credential ID 571681
Credential Number 10.067674
Credential Type Registered Nurse
Business Address 4077 Glencoe Ave
Marina Del Rey
CA 90292
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-11-20
Effective Date 2007-10-29
Expiration Date 2008-10-31
Refresh Date 2009-07-08

Office Location

Street Address 4077 GLENCOE AVE
City MARINA DEL REY
State CA
Zip Code 90292

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Competitor

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City MARINA DEL REY
Zip Code 90292
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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