ALEXANDRA C BROOME
Licensed Practical Nurse


Address: P O Box 1065, West Tisbury, MA 02575

ALEXANDRA C BROOME (Credential# 671742) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 25, 2002. The license expiration date date is January 31, 2004. The license status is INACTIVE.

Business Overview

ALEXANDRA C BROOME is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.027939. The credential type is licensed practical nurse. The effective date is November 25, 2002. The expiration date is January 31, 2004. The business address is P O Box 1065, West Tisbury, MA 02575. The current status is inactive.

Basic Information

Licensee Name ALEXANDRA C BROOME
Credential ID 671742
Credential Number 11.027939
Credential Type Licensed Practical Nurse
Business Address P O Box 1065
West Tisbury
MA 02575
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-01-05
Effective Date 2002-11-25
Expiration Date 2004-01-31
Refresh Date 2009-07-08

Office Location

Street Address P O BOX 1065
City West Tisbury
State MA
Zip Code 02575

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Peyton Thomas Wallace 63 Otis Bassett Rd, West Tisbury, MA 02575 Real Estate Broker 2018-02-22 ~ 2019-03-31
Dennis R Gough Po Box 1173, West Tisbury, NY 02575 Home Inspector 2015-07-01 ~ 2017-06-30
Daniel K Kaeka 91a Music St, West Tisbury, MA 02575 Pharmacy Intern 2012-06-08 ~ 2015-09-30
Karen J Meeks P.o. Box 129, West Tisbury, MA 02575 Licensed Clinical Social Worker 2005-10-14 ~ 2006-10-31
James W Prichard Md P O Box 1319, West Tisbury, CT 02575 Controlled Substance Registration for Practitioner 2003-03-01 ~ 2004-02-28
Thomas W Buchert Jr Po Box 902, W Tisbury, MA 02575 Engineer-in-training 1999-10-12 ~ 2009-10-12
Eleanor L Brightman Po Box 875, West Tisbury, MA 02575 Licensed Clinical Social Worker 1999-10-18 ~ 2000-12-31
Anthony D Piland Sr Po Box 1484, West Tisbury, MA 02575-1484 Physician Assistant 2017-10-01 ~ 2018-09-30

Competitor

Search similar business entities

City West Tisbury
Zip Code 02575
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + West Tisbury

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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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