KIM C WACKELL (Credential# 1086348) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2014. The license expiration date date is October 31, 2015. The license status is INACTIVE.
KIM C WACKELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.108409. The credential type is registered nurse. The effective date is November 1, 2014. The expiration date is October 31, 2015. The business address is 58 Beverly Hill Dr, Shrewsbury, MA 01545-5824. The current status is inactive.
| Licensee Name | KIM C WACKELL |
| Credential ID | 1086348 |
| Credential Number | 10.108409 |
| Credential Type | Registered Nurse |
| Business Address |
58 Beverly Hill Dr Shrewsbury MA 01545-5824 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-10-01 |
| Effective Date | 2014-11-01 |
| Expiration Date | 2015-10-31 |
| Refresh Date | 2016-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1116093 | 10.107389-TEMP | Registered Nurse - Temporary | 2012-08-06 | 2012-08-06 - 2012-12-04 | INACTIVE |
| Street Address | 58 BEVERLY HILL DR |
| City | SHREWSBURY |
| State | MA |
| Zip Code | 01545-5824 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven C Jennette | 19 Rockwell Drive, Shrewsbury, MA 01545 | Architect | 2020-08-01 ~ 2021-07-31 |
| Traci L Magliozzi · Testa | 103 Stoney Hill Rd, Shrewsbury, MA 01545 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Geetanjali Virmani | 31 Hawthorne Road, Shrewsbury, MA 01545 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Sara M Jaszczur | 11 Turtle Creek Circle, Shrewsbury, MA 01545 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michelle R Stumm | 9 Sycamore Road, Shrewsbury, MA 01545 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Mireya Wessolossky | 9 Old Farm Circle, Shrewsbury, MA 01545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Esther Kinuthia | Po Box 4436, Shrewsbury, MA 01545 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Pooja Laxminarayan Jangid | 16 Thestland Dr., Shrewsbury, MA 01545 | Physical Therapist | ~ |
| Laura A Ames | 9 Chartwell Circle, Shrewsbury, MA 01545 | Nursing Home Administrator | 2020-06-01 ~ 2022-05-31 |
| Grisham M Bryan | 30 Stonybrook Lane, Shrewsbury, MA 01545 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Find all Licenses in zip 01545 | |||
| City | SHREWSBURY |
| Zip Code | 01545 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + SHREWSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roshiny Achiamma Alex | Post Box 5254,registered Nurse, Abudhabi | Registered Nurse | 2018-11-01 ~ 2019-10-31 |
| Nydia I Lugaro | S Main St C/o Nurse Network 653, Plantsville, CT 06479-1549 | Registered Nurse | ~ |
| April Tan | C/o Liberty Nurse Recruiting, Kingsport, TN 37663 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
| Sherrie-lynn Nurse | Avalon Walk Apts, Hamden, CT 06518 | Registered Nurse | ~ 1998-02-28 |
| Caryn S Nurse | 4159 Palm Dr, Snellville, GA 30039-3323 | Registered Nurse - Temporary | 2012-02-29 ~ 2012-06-28 |
| Michele C Rose · Martin | C/o Liberty Nurse Recruiting, Kingsport, TN 37663 | Registered Nurse | 2008-12-05 ~ 2009-12-31 |
| Umadevi Janne | Staff Nurse,2d Department, 2nd Floor, Abudhabi, Uae, 2951 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kingsley C Nurse | 12 Westwood Dr, Stamford, CT 06902-4653 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| Shevon M Nurse | 7 Duncaster Rd, Bloomfield, CT 06002-1503 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| India M Nurse | 38 Padanaram Ave., 8a, Danbury, CT 06811 | Registered Nurse | 2007-03-02 ~ 2007-11-30 |
Please comment or provide details below to improve the information on KIM C WACKELL.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).