MARTHA D CROFOOT
Licensed Practical Nurse


Address: 224 Meadowbrook Rd, Fairfield, CT 06430

MARTHA D CROFOOT (Credential# 661535) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is February 4, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

MARTHA D CROFOOT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.013754. The credential type is licensed practical nurse. The effective date is February 4, 1998. The expiration date is February 28, 1999. The business address is 224 Meadowbrook Rd, Fairfield, CT 06430. The current status is inactive.

Basic Information

Licensee Name MARTHA D CROFOOT
Credential ID 661535
Credential Number 11.013754
Credential Type Licensed Practical Nurse
Business Address 224 Meadowbrook Rd
Fairfield
CT 06430
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1973-12-28
Effective Date 1998-02-04
Expiration Date 1999-02-28
Refresh Date 2018-10-03

Office Location

Street Address 224 MEADOWBROOK RD
City FAIRFIELD
State CT
Zip Code 06430

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Competitor

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City FAIRFIELD
Zip Code 06430
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + FAIRFIELD

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Martha I Maietta 44 Carolan Ave, Hampton, NH 03842 Licensed Practical Nurse 1993-08-25 ~ 1994-08-31
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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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