STACIA R CROCKETT
Registered Nurse


Address: 122 Lakeview Ave, Hamden, CT 06514

STACIA R CROCKETT (Credential# 601091) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2018. The license expiration date date is December 31, 2018. The license status is INACTIVE.

Business Overview

STACIA R CROCKETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E26779. The credential type is registered nurse. The effective date is January 1, 2018. The expiration date is December 31, 2018. The business address is 122 Lakeview Ave, Hamden, CT 06514. The current status is inactive.

Basic Information

Licensee Name STACIA R CROCKETT
Credential ID 601091
Credential Number 10.E26779
Credential Type Registered Nurse
Business Address 122 Lakeview Ave
Hamden
CT 06514
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1962-11-15
Effective Date 2018-01-01
Expiration Date 2018-12-31
Refresh Date 2019-04-05

Office Location

Street Address 122 LAKEVIEW AVE
City HAMDEN
State CT
Zip Code 06514

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Marie Junie Cyril 175 Oberlin Road, Hamden, CT 06514 Registered Nurse 2020-09-01 ~ 2021-08-31
Erica Weiss 4 Partridge Crossing, Hamden, CT 06514 Physician/surgeon 2020-07-01 ~ 2021-06-30
Kimberly S Traverso 50 Building Brook Road, Hamden, CT 06514 Professional Counselor 2020-08-01 ~ 2021-07-31
Kevin A Guess 3rd Street, Hamden, CT 06514 Public Weigher 2020-06-12 ~ 2021-06-30
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Competitor

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City HAMDEN
Zip Code 06514
License Type Registered Nurse
License Type + County Registered Nurse + HAMDEN

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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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