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.
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.
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 |
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 |
Street Address | 5190 PARK DR |
City | FAIRGROVE |
State | MI |
Zip Code | 48733-9701 |
City | FAIRGROVE |
Zip Code | 48733 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + FAIRGROVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marie R Moore | 58 Sea St, New Haven, CT 06519 | Registered Nurse | 2005-06-27 ~ 2009-08-31 |
Susan S Moore | 101 Phelps Rd, Manchester, CT 06042 | Registered Nurse | 2013-04-01 ~ 2014-03-31 |
Susan B Smith | 338 Moore Hl Dr, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Rachael Marie Tomlinson | 440 Brookside Ter, Moore, OK 73160-3106 | Registered Nurse | 2019-07-18 ~ 2020-02-29 |
Susan T Moore | 44 Mount Vernon St, Boston, MA 02108-1302 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Susan R Moore | 91 Deer Lane, Guilford, CT 06437 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Susan A Moore | 7 Washington Ave, Sandy Hook, CT 06482-1339 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Dawn-marie Moore | 22 Edmund Street, Old Saybrook, CT 06475 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Susan M Moore | 42 South Rd, Livermore, ME 04253-4026 | Registered Nurse - Temporary | 2011-06-21 ~ 2011-10-19 |
Jennifer Marie Moore | 1006 Lone Ivory Trl, Arlington, TX 76005-1126 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
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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).