JUSTINA M POTENCIANO
Registered Nurse


Address: 2537 Noble Canyon Road, Chula Vista, CA 91915

JUSTINA M POTENCIANO (Credential# 642666) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.

Business Overview

JUSTINA M POTENCIANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R39906. The credential type is registered nurse. The effective date is July 1, 2010. The expiration date is June 30, 2011. The business address is 2537 Noble Canyon Road, Chula Vista, CA 91915. The current status is inactive.

Basic Information

Licensee Name JUSTINA M POTENCIANO
Credential ID 642666
Credential Number 10.R39906
Credential Type Registered Nurse
Business Address 2537 Noble Canyon Road
Chula Vista
CA 91915
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1986-02-03
Effective Date 2010-07-01
Expiration Date 2011-06-30
Refresh Date 2011-10-03

Office Location

Street Address 2537 Noble Canyon Road
City Chula Vista
State CA
Zip Code 91915

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Marie M. Rene 1730 Cripple Creek Dr. #2, Chula Vista, CA 91915 Master's Level Social Worker 2019-11-01 ~ 2020-10-31
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Nicole Page Yumen 953 Adirondack Pl, Chula Vista, CA 91914-2653 Registered Nurse 2020-07-01 ~ 2021-06-30
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Braden Jockmyhn 750 Otay Lakes Rd, Chula Vista, CA 91910 Master's Level Social Worker 2020-05-01 ~ 2021-04-30
Shannah Marie Kozlik 1547 Point Hueneme Ct., Chula Vista, CA 91911 Registered Nurse 2020-02-01 ~ 2021-01-31
Michelle M Power 730 Paso De Luz Unit 191, Chula Vista, CA 91911 Massage Therapist 2019-12-01 ~ 2021-11-30
Jerlin Irish 312 5th Ave, Chula Vista, CA 91910 Registered Nurse 2019-12-01 ~ 2020-11-30
Nadege Auguste 303 E James St, Chula Vista, CA 91910-6302 Licensed Clinical Social Worker 2019-11-01 ~ 2020-10-31
Karen Buroff 711 E J St, Chula Vista, CA 91910-6573 Licensed Clinical Social Worker 2019-12-01 ~ 2020-11-30
Otay Lakes Brewery LLC 901 Lane Ave Ste 100, Chula Vista, CA 91914-3536 Out of State Shipper Beer 2019-09-06 ~ 2020-09-05
Solara Medical Supplies LLC 2084 Otay Lakes Rd Ste 102, Chula Vista, CA 91913-1368 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
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Competitor

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City Chula Vista
Zip Code 91915
License Type Registered Nurse
License Type + County Registered Nurse + Chula Vista

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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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