WILLIAM H TIDABACK III
Registered Nurse


Address: Rr1 Box 11k, Harrisville, NY 13648

WILLIAM H TIDABACK III (Credential# 655239) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 22, 2007. The license expiration date date is May 31, 2008. The license status is INACTIVE.

Business Overview

WILLIAM H TIDABACK III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R55497. The credential type is registered nurse. The effective date is March 22, 2007. The expiration date is May 31, 2008. The business address is Rr1 Box 11k, Harrisville, NY 13648. The current status is inactive.

Basic Information

Licensee Name WILLIAM H TIDABACK III
Credential ID 655239
Credential Number 10.R55497
Credential Type Registered Nurse
Business Address Rr1 Box 11k
Harrisville
NY 13648
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-06-19
Effective Date 2007-03-22
Expiration Date 2008-05-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
680037 12.001858 Advanced Practice Registered Nurse 1998-06-12 2007-03-22 - 2008-05-31 INACTIVE
153254 CSP.0027437 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address RR1 BOX 11K
City HARRISVILLE
State NY
Zip Code 13648

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Competitor

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City HARRISVILLE
Zip Code 13648
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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