Department of Public Health
Board of Nursing
LISAN DO
Registered Nurse
License number
82209
Date granted
07/02/2007
Date expires
07/31/2015
Class
Registered Nurse
Status
Active
Address
20 Belrose Ave, Fairfield, Southington, CT, 06489
nursingct.org
ID 4465471
LAST UPDATED 2026-03-08 10:04:16 UTC
LAST UPDATED 2026-03-08 10:04:16 UTC
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