AVA MARCICZKIEWICZ
Registered Nurse


Address: 59 Perkins Street, Jamaica Plain, MA 02130

AVA MARCICZKIEWICZ (Credential# 624014) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 8, 1995. The license expiration date date is November 30, 1996. The license status is INACTIVE.

Business Overview

AVA MARCICZKIEWICZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E55105. The credential type is registered nurse. The effective date is December 8, 1995. The expiration date is November 30, 1996. The business address is 59 Perkins Street, Jamaica Plain, MA 02130. The current status is inactive.

Basic Information

Licensee Name AVA MARCICZKIEWICZ
Credential ID 624014
Credential Number 10.E55105
Credential Type Registered Nurse
Business Address 59 Perkins Street
Jamaica Plain
MA 02130
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-09-10
Effective Date 1995-12-08
Expiration Date 1996-11-30
Refresh Date 2009-07-08

Office Location

Street Address 59 PERKINS STREET
City JAMAICA PLAIN
State MA
Zip Code 02130

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City JAMAICA PLAIN
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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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