SUSAN MARIE MOORE
Registered Nurse


Address: 5190 Park Dr, Fairgrove, MI 48733-9701

SUSAN MARIE MOORE (Credential# 924659) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2011. The license expiration date date is August 31, 2012. The license status is INACTIVE.

Business Overview

SUSAN MARIE MOORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.096293. The credential type is registered nurse. The effective date is September 1, 2011. The expiration date is August 31, 2012. The business address is 5190 Park Dr, Fairgrove, MI 48733-9701. The current status is inactive.

Basic Information

Licensee Name SUSAN MARIE MOORE
Credential ID 924659
Credential Number 10.096293
Credential Type Registered Nurse
Business Address 5190 Park Dr
Fairgrove
MI 48733-9701
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-09-29
Effective Date 2011-09-01
Expiration Date 2012-08-31
Refresh Date 2012-12-05

Other licenses

ID Credential Code Credential Type Issue Term Status
924663 10.093433-TEMP Registered Nurse - Temporary 2010-04-15 2010-04-15 - 2010-08-13 INACTIVE
924662 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 5190 PARK DR
City FAIRGROVE
State MI
Zip Code 48733-9701

Competitor

Search similar business entities

City FAIRGROVE
Zip Code 48733
License Type Registered Nurse
License Type + County Registered Nurse + FAIRGROVE

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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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