ALISA A LAZZARO
Registered Nurse


Address: 434 Nw Brookville Ct, Port St Lucie, FL 34986-2647

ALISA A LAZZARO (Credential# 638165) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2010. The license expiration date date is December 31, 2010. The license status is INACTIVE.

Business Overview

ALISA A LAZZARO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R31003. The credential type is registered nurse. The effective date is January 1, 2010. The expiration date is December 31, 2010. The business address is 434 Nw Brookville Ct, Port St Lucie, FL 34986-2647. The current status is inactive.

Basic Information

Licensee Name ALISA A LAZZARO
Credential ID 638165
Credential Number 10.R31003
Credential Type Registered Nurse
Business Address 434 Nw Brookville Ct
Port St Lucie
FL 34986-2647
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1978-07-13
Effective Date 2010-01-01
Expiration Date 2010-12-31
Refresh Date 2011-04-04

Office Location

Street Address 434 NW BROOKVILLE CT
City PORT ST LUCIE
State FL
Zip Code 34986-2647

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Tammy L Mahroos 8155 Carnoustie Place, Port St Lucie, FL 34986 Registered Nurse 2018-08-01 ~ 2019-07-31
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Nicole A Passaro 5415 Nw Bolin Street, Port St. Lucie, FL 34986 Registered Nurse 2019-09-01 ~ 2020-08-31
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Competitor

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City PORT ST LUCIE
Zip Code 34986
License Type Registered Nurse
License Type + County Registered Nurse + PORT ST LUCIE

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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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