JACQUELINE M HAVRILIAK
Advanced Practice Registered Nurse


Address: P O Box 427, Wayne, PA 19087

JACQUELINE M HAVRILIAK (Credential# 680276) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 14, 2002. The license expiration date date is February 28, 2003. The license status is INACTIVE.

Business Overview

JACQUELINE M HAVRILIAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002098. The credential type is advanced practice registered nurse. The effective date is January 14, 2002. The expiration date is February 28, 2003. The business address is P O Box 427, Wayne, PA 19087. The current status is inactive.

Basic Information

Licensee Name JACQUELINE M HAVRILIAK
Credential ID 680276
Credential Number 12.002098
Credential Type Advanced Practice Registered Nurse
Business Address P O Box 427
Wayne
PA 19087
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-07-02
Effective Date 2002-01-14
Expiration Date 2003-02-28
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
656765 10.R57024 Registered Nurse 1999-07-02 2002-01-14 - 2003-02-28 INACTIVE

Office Location

Street Address P O BOX 427
City Wayne
State PA
Zip Code 19087

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Competitor

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City Wayne
Zip Code 19087
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + Wayne

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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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