EVELYN R MITHEN
Registered Nurse


Address: 114 Way Rd, Salem, CT 06415

EVELYN R MITHEN (Credential# 633898) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 5, 2001. The license expiration date date is March 31, 2010. The license status is INACTIVE.

Business Overview

EVELYN R MITHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R20681. The credential type is registered nurse. The effective date is February 5, 2001. The expiration date is March 31, 2010. The business address is 114 Way Rd, Salem, CT 06415. The current status is inactive.

Basic Information

Licensee Name EVELYN R MITHEN
Credential ID 633898
Credential Number 10.R20681
Credential Type Registered Nurse
Business Address 114 Way Rd
Salem
CT 06415
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1968-12-04
Effective Date 2001-02-05
Expiration Date 2010-03-31
Refresh Date 2010-12-13

Office Location

Street Address 114 WAY RD
City SALEM
State CT
Zip Code 06415

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Alicia R Bohnenkamper 906 Canterbury Lane, Colchester, CT 06415 Notary Public Appointment 2011-09-28 ~ 2016-09-30
Anna M Sofia 75 B Elmwood Heights, Colcheshter, CT 06415 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City SALEM
Zip Code 06415
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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