DIANE D GOMEZ
Registered Nurse


Address: 15 Ferndale Ave, Waterbury, CT 06708

DIANE D GOMEZ (Credential# 620497) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 26, 2009. The license expiration date date is May 31, 2010. The license status is INACTIVE.

Business Overview

DIANE D GOMEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E51410. The credential type is registered nurse. The effective date is May 26, 2009. The expiration date is May 31, 2010. The business address is 15 Ferndale Ave, Waterbury, CT 06708. The current status is inactive.

Basic Information

Licensee Name DIANE D GOMEZ
Credential ID 620497
Credential Number 10.E51410
Credential Type Registered Nurse
Business Address 15 Ferndale Ave
Waterbury
CT 06708
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1988-09-01
Effective Date 2009-05-26
Expiration Date 2010-05-31
Refresh Date 2010-09-01

Office Location

Street Address 15 FERNDALE AVE
City WATERBURY
State CT
Zip Code 06708

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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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