Connecticut
Department of Consumer Protection
DOUGLAS FAIRBANKS JR.
Licensed Practical Nurse
License number
36781
Date granted
01/24/2012
Date expires
06/30/2015
Class
Licensed Practical Nurse
Status
Active
Address
313 SWAIN AVE, New Haven, MERIDEN, CT, 06450-7221
ctlicensing.org
ID 4255253
LAST UPDATED 2024-04-22 16:46:55 UTC
LAST UPDATED 2024-04-22 16:46:55 UTC
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