MELISSA A BLACKBURN-KIERKLA (Credential# 1369009) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MELISSA A BLACKBURN-KIERKLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006980. The credential type is advanced practice registered nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 218 Cedar Swamp Rd, Monson, MA 01057. The current status is active.
| Licensee Name | MELISSA A BLACKBURN-KIERKLA |
| Credential ID | 1369009 |
| Credential Number | 12.006980 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
218 Cedar Swamp Rd Monson MA 01057 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-03-28 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 649660 | 10.R49913 | Registered Nurse | 1994-05-13 | 2020-04-01 - 2021-03-31 | ACTIVE |
| 1417189 | CSP.0065186 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-04-21 | 2019-03-18 - 2021-02-28 | ACTIVE |
| 1399987 | 10.139916-TEMP | Registered Nurse - Temporary | 2017-01-25 | 2017-01-25 - 2017-05-24 | INACTIVE |
| Street Address | 218 CEDAR SWAMP RD |
| City | MONSON |
| State | MA |
| Zip Code | 01057 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather A Perella | 166 Stafford Hollow Rd, Monson, MA 01057 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Donna M Lowney Lnm | 34 Stafford Hollow Rd, Monson, MA 01057 | Licensed Nurse Midwife | 2020-07-01 ~ 2021-06-30 |
| Maura E Chlebus | 58 Paradise Lake Road, Monson, MA 01057 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Kathryn A Esser | 95 Reimers Rd, Monson, MA 01057 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer Anne Tetreault | 72 Woodhill Rd, Monson, MA 01057 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Alyssa M Rhodes | 29 Robbins Rd, Monson, MA 01057 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Carolyn T Sacco | 31 Crow Hill Rd, Monson, MA 01057 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Kimberly A Riley | 196 Wilbraham Rd., Monson, MA 01057 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Bonnie I Thornton | 65 Bethany Road, Monson, MA 01057 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Deborah A Rogers | 3 Wales Road, Po Box 183, Monson, MA 01057 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 01057 | |||
| City | MONSON |
| Zip Code | 01057 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + MONSON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Mcintyre | 70 Fieldwood Rd, Watertown, CT 06795-3023 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Melissa A Derboghossian | 558 Ontario St, Schenectady, NY 12306-4013 | Advanced Practice Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Melissa C Shannon | 112 Woodleaf Dr, Chapel Hill, NC 27516 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Melissa D Straus | 168 Samp Mortar Dr, Fairfield, CT 06824-2462 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Melissa L Watterson · Jackson | 94 Becon St, Hartford, CT 06105 | Advanced Practice Registered Nurse | 2000-05-31 ~ 2001-06-30 |
| Melissa Leigh Squires | 702 Enon Church Rd, Chester, VA 23836-5912 | Advanced Practice Registered Nurse | ~ |
| Melissa A Fazzolari | 47 Fiesta Heights, Meriden, CT 06451-3625 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Melissa M Dziedzic | 10 Pond View Cir, North Haven, CT 06473-4047 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Melissa Geeta Chanderdai Daugaard | 851 Mission De Oro, Redding, CA 96003 | Advanced Practice Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Melissa J Rockett Aprn | 31 Penny Lane, Woodbridge, CT 06525 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on MELISSA A BLACKBURN-KIERKLA.
| 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).