Mary W Jordan Registered Nurse
60 Carriage Drive, Avon, CT 06001


Mary W Jordan is licensed in the eLicensing system of Connecticut. The license credential ID is 578637. The license type is Registered Nurse. The license status is ACTIVE. The address is 60 Carriage Drive, Avon, CT 06001. The zip code is 06001.


Mary W Jordan · 60 Carriage Drive, Avon, CT 06001

Credential ID 578637
Name MARY W JORDAN
Type INDIVIDUAL
Address 60 Carriage Drive
Avon, CT 06001
License Credential Registered Nurse
Full Credential Code 10.074633
Credential Type 10
Credential Number 74633
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 10/22/2004
Effective Date 09/01/2016
Expiration Date 08/31/2017
Record Refresh Date 08/02/201

Zip 06001 · Registered Nurse · Connecticut Business

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