YADELL A SUPIL
Registered Nurse


Address: 171 Bradley Avenue, Staten Island, NY 10314

YADELL A SUPIL (Credential# 655668) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

YADELL A SUPIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R55926. The credential type is registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 171 Bradley Avenue, Staten Island, NY 10314. The current status is active.

Basic Information

Licensee Name YADELL A SUPIL
Credential ID 655668
Credential Number 10.R55926
Credential Type Registered Nurse
Business Address 171 Bradley Avenue
Staten Island
NY 10314
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1998-10-02
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-03-11

Office Location

Street Address 171 Bradley Avenue
City STATEN ISLAND
State NY
Zip Code 10314

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Susie X Yang 58 Goller Pl, Staten Island, NY 10314 Pharmacist 2020-02-01 ~ 2022-01-31
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Competitor

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City STATEN ISLAND
Zip Code 10314
License Type Registered Nurse
License Type + County Registered Nurse + STATEN ISLAND

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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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