ALISA L KOSLA
Advanced Practice Registered Nurse


Address: 121 Bailey St, Worcester, MA 01602

ALISA L KOSLA (Credential# 680573) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2017. The license expiration date date is March 31, 2018. The license status is INACTIVE.

Business Overview

ALISA L KOSLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002395. The credential type is advanced practice registered nurse. The effective date is April 1, 2017. The expiration date is March 31, 2018. The business address is 121 Bailey St, Worcester, MA 01602. The current status is inactive.

Basic Information

Licensee Name ALISA L KOSLA
Credential ID 680573
Credential Number 12.002395
Credential Type Advanced Practice Registered Nurse
Business Address 121 Bailey St
Worcester
MA 01602
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-10-17
Effective Date 2017-04-01
Expiration Date 2018-03-31
Refresh Date 2019-04-26

Other licenses

ID Credential Code Credential Type Issue Term Status
566052 10.062041 Registered Nurse 1999-08-19 2017-04-01 - 2018-03-31 INACTIVE
290931 CSP.0031564 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 121 BAILEY ST
City Worcester
State MA
Zip Code 01602

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Competitor

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City Worcester
Zip Code 01602
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + Worcester

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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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