FALLON A FUNDERBURK
Registered Nurse


Address: 725 Cozy Point Road, Zwolle, LA 71486

FALLON A FUNDERBURK (Credential# 581712) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 9, 2007. The license expiration date date is April 30, 2008. The license status is INACTIVE.

Business Overview

FALLON A FUNDERBURK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.077710. The credential type is registered nurse. The effective date is April 9, 2007. The expiration date is April 30, 2008. The business address is 725 Cozy Point Road, Zwolle, LA 71486. The current status is inactive.

Basic Information

Licensee Name FALLON A FUNDERBURK
Credential ID 581712
Credential Number 10.077710
Credential Type Registered Nurse
Business Address 725 Cozy Point Road
Zwolle
LA 71486
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-02-14
Effective Date 2007-04-09
Expiration Date 2008-04-30
Refresh Date 2009-07-08

Office Location

Street Address 725 Cozy Point Road
City Zwolle
State LA
Zip Code 71486

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mary Kay West 377 Acacia Lane, Zwolle, LA 71486 Registered Nurse 1997-01-27 ~ 1998-03-31

Competitor

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City Zwolle
Zip Code 71486
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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