JERUSALEM MAKONNEN
Registered Nurse


Address: 218 Bocana Street, San Francisco, CA 94110

JERUSALEM MAKONNEN (Credential# 626415) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 19, 1997. The license expiration date date is June 30, 1998. The license status is INACTIVE.

Business Overview

JERUSALEM MAKONNEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E57509. The credential type is registered nurse. The effective date is June 19, 1997. The expiration date is June 30, 1998. The business address is 218 Bocana Street, San Francisco, CA 94110. The current status is inactive.

Basic Information

Licensee Name JERUSALEM MAKONNEN
Credential ID 626415
Credential Number 10.E57509
Credential Type Registered Nurse
Business Address 218 Bocana Street
San Francisco
CA 94110
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-06-16
Effective Date 1997-06-19
Expiration Date 1998-06-30
Refresh Date 2009-07-08

Office Location

Street Address 218 BOCANA STREET
City SAN FRANCISCO
State CA
Zip Code 94110

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Young Ming Wong 1496 Dolores Street, San Francisco, CA 94110 Architect 2019-08-01 ~ 2020-07-31
Heather M Greysen 116 Franconia St, San Francisco, CA 94110 Registered Nurse 2011-04-01 ~ 2012-03-31
Million Mom March Foundation 1001 Potrero-building 1, Room 300, San Francisco, CA 94110 Public Charity ~
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Competitor

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City SAN FRANCISCO
Zip Code 94110
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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