MARY L NICKOLS
Licensed Practical Nurse


Address: 11 Beverly Pl, Bridgeport, CT 06610

MARY L NICKOLS (Credential# 657536) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.

Business Overview

MARY L NICKOLS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.005872. The credential type is licensed practical nurse. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 11 Beverly Pl, Bridgeport, CT 06610. The current status is inactive.

Basic Information

Licensee Name MARY L NICKOLS
Credential ID 657536
Credential Number 11.005872
Credential Type Licensed Practical Nurse
Business Address 11 Beverly Pl
Bridgeport
CT 06610
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1959-06-05
Effective Date 2016-05-01
Expiration Date 2017-04-30
Refresh Date 2019-04-26

Other licenses

ID Credential Code Credential Type Issue Term Status
611769 10.E41345 Registered Nurse 1979-04-04 2016-05-01 - 2017-04-30 INACTIVE

Office Location

Street Address 11 BEVERLY PL
City BRIDGEPORT
State CT
Zip Code 06610

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Denise Reyes 1125 Huntington Turnpike, Bridgeport, CT 06610 Registered Nurse 2020-07-01 ~ 2021-06-30
Avery M Rilley 80 Granfield Avenue, Bridgeport, CT 06610 Pharmacy Technician 2020-06-25 ~ 2021-03-31
Bozena K. Malyszko Bridgeport Hospital, Bridgeport, CT 06610 Physician/surgeon 2020-07-01 ~ 2021-06-30
Amy Espinosa 146 Court D, Bridgeport, CT 06610 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Wilhelmina Jackson · Thomas 172 Court D, Bridgeport, CT 06610 Registered Nurse 2020-08-01 ~ 2021-07-31
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Find all Licenses in zip 06610

Competitor

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City BRIDGEPORT
Zip Code 06610
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + BRIDGEPORT

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Mary T Kumpf Po Box 35, Montville, CT 06353 Licensed Practical Nurse 2000-09-21 ~ 2001-11-30
Mary J Green 745 Mix Ave Apt B, Hamden, CT 06514-2224 Licensed Practical Nurse 2015-12-01 ~ 2016-11-30
Mary A Hubbard Po Box 146, Riverton, CT 06065 Licensed Practical Nurse 2003-12-24 ~ 2004-12-31
Mary C Whelan Po Box 4, Salisbury, CT 06068 Licensed Practical Nurse 2008-11-24 ~ 2009-12-31
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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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