NICOLE M MALLETT
Licensed Practical Nurse


Address: 66 Elmwood Ave, Bridgeport, CT 06605-1401

NICOLE M MALLETT (Credential# 671625) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2012. The license expiration date date is April 11, 2013. The license status is INACTIVE.

Business Overview

NICOLE M MALLETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.027822. The credential type is licensed practical nurse. The effective date is November 1, 2012. The expiration date is April 11, 2013. The business address is 66 Elmwood Ave, Bridgeport, CT 06605-1401. The current status is inactive.

Basic Information

Licensee Name NICOLE M MALLETT
Credential ID 671625
Credential Number 11.027822
Credential Type Licensed Practical Nurse
Business Address 66 Elmwood Ave
Bridgeport
CT 06605-1401
Business Type INDIVIDUAL
Status INACTIVE - PRIOR DISCIPLINE
Issue Date 1999-09-24
Effective Date 2012-11-01
Expiration Date 2013-04-11
Refresh Date 2013-04-17

Office Location

Street Address 66 ELMWOOD AVE
City BRIDGEPORT
State CT
Zip Code 06605-1401

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Competitor

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City BRIDGEPORT
Zip Code 06605
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + BRIDGEPORT

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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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