SANDRA H GUSTAD
Licensed Practical Nurse


Address: 2 N Main St Apt Pa412, Beacon Falls, CT 06403-1193

SANDRA H GUSTAD (Credential# 659685) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2013. The license expiration date date is April 30, 2014. The license status is INACTIVE.

Business Overview

SANDRA H GUSTAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.010275. The credential type is licensed practical nurse. The effective date is May 1, 2013. The expiration date is April 30, 2014. The business address is 2 N Main St Apt Pa412, Beacon Falls, CT 06403-1193. The current status is inactive.

Basic Information

Licensee Name SANDRA H GUSTAD
Credential ID 659685
Credential Number 11.010275
Credential Type Licensed Practical Nurse
Business Address 2 N Main St Apt Pa412
Beacon Falls
CT 06403-1193
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-08-31
Effective Date 2013-05-01
Expiration Date 2014-04-30
Refresh Date 2014-08-07

Office Location

Street Address 2 N MAIN ST APT PA412
City BEACON FALLS
State CT
Zip Code 06403-1193

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Competitor

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City BEACON FALLS
Zip Code 06403
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + BEACON FALLS

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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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