License holder summary

SHANTIZA LACKRAN is a Licensed Practical Nurse licensed to practice in Connecticut. The address on file for SHANTIZA LACKRAN is 4-6 UNION AVE, #35, Fairfield, Norwalk, CT, 06851. This licensed professional license is current. The license was granted 02/03/2004 and expired on 11/30/2014.

Connecticut

Department of Consumer Protection

SHANTIZA LACKRAN
Licensed Practical Nurse
License number
30146
Date granted
02/03/2004
Date expires
11/30/2014
Class
Licensed Practical Nurse
Status
Active
Address
4-6 UNION AVE, #35, Fairfield, Norwalk, CT, 06851
ctlicensing.org
ID 4241365
LAST UPDATED 2024-03-08 00:49:29 UTC

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