JACQUELIN S LANTER
Nursing Home Administrator


Address: 11411 North 19th Av, Phoenix, AZ 85029

JACQUELIN S LANTER (Credential# 765476) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is February 24, 1992. The license expiration date date is January 31, 1993. The license status is INACTIVE.

Business Overview

JACQUELIN S LANTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001237. The credential type is nursing home administrator. The effective date is February 24, 1992. The expiration date is January 31, 1993. The business address is 11411 North 19th Av, Phoenix, AZ 85029. The current status is inactive.

Basic Information

Licensee Name JACQUELIN S LANTER
Credential ID 765476
Credential Number 36.001237
Credential Type Nursing Home Administrator
Business Address 11411 North 19th Av
Phoenix
AZ 85029
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-02-22
Effective Date 1992-02-24
Expiration Date 1993-01-31
Refresh Date 2009-07-08

Office Location

Street Address 11411 NORTH 19TH AV
City PHOENIX
State AZ
Zip Code 85029

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City PHOENIX
Zip Code 85029
License Type Nursing Home Administrator
License Type + County Nursing Home Administrator + PHOENIX

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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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