CCC1327758
CCC
What this credential allows / does not imply
Credential type as published in the source extract.
Does not imply: Confirm current status and scope on official New Jersey tools before hiring.
- Original licensure
- Nov 13, 2006
- Effective
- Nov 13, 2006
- Expiration
- Aug 31, 2028
- Board / source
- 06
- Address / county on file
- 5130 WEST HURLEY POND ROAD, WALL, NJ, 07727
- Source / last verified
- New Jersey registration extract (fl_dbpr) · Aug 10, 2026, 10:49 PM UTC