Eva Lena R Ivanov Licensed Practical Nurse
27 Lindstrom Rd 1c, Stamford, CT 06902


Eva Lena R Ivanov is licensed in the eLicensing system of Connecticut. The license credential ID is 666161. The license type is Licensed Practical Nurse. The license status is ACTIVE. The address is 27 Lindstrom Rd 1c, Stamford, CT 06902. The zip code is 06902.


Eva Lena R Ivanov · 27 Lindstrom Rd 1c, Stamford, CT 06902

Credential ID 666161
Name EVA LENA R IVANOV
Type INDIVIDUAL
Address 27 LINDSTROM RD 1C
Stamford, CT 06902
License Credential Licensed Practical Nurse
Full Credential Code 11.021784
Credential Type 11
Credential Number 21784
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 06/02/1986
Effective Date 10/01/2015
Expiration Date 09/30/2016
Record Refresh Date 09/30/201

Zip 06902 · Licensed Practical Nurse · Connecticut Business

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