KYLE MATTHEW FARR (Credential# 1530648) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
KYLE MATTHEW FARR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007828. The credential type is advanced practice registered nurse. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 1856 Tradition Dr, Canton, MI 48187. The current status is active.
| Licensee Name | KYLE MATTHEW FARR |
| Credential ID | 1530648 |
| Credential Number | 12.007828 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
1856 Tradition Dr Canton MI 48187 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-03 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-07-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1530646 | 10.153807 | Registered Nurse | 2018-09-03 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1531650 | 10.152250-TEMP | Registered Nurse - Temporary | 2018-07-20 | 2018-07-20 - 2018-11-16 | INACTIVE |
| Street Address | 1856 Tradition Dr |
| City | Canton |
| State | MI |
| Zip Code | 48187 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shawn P Quinn | 48137 Picadilly Ct., Canton, MI 48187 | Registered Nurse - Temporary | 2015-12-03 ~ 2016-03-31 |
| Sean M Anderson | 43311 Joy Rd #404, Canton, MI 48187 | Electrical Unlimited Journeyperson | 1991-12-18 ~ 1993-10-01 |
| Laura J Hoeksema | 41706 W Village Green Blvd, Canton, MI 48187 | Controlled Substance Registration for Practitioner | 2009-06-24 ~ 2011-02-28 |
| Patricia M Mitter · Hirsh | 42015 Ford Road, Canton, MI 48187 | Registered Nurse | 1997-10-20 ~ 1998-11-30 |
| Lois K Morrison | 6670 Chadwick Dr, Canton, MI 48187 | Registered Nurse | 1992-05-27 ~ 1993-05-31 |
| Kristine L Halsey | 44270 Harsdale Ct, Canton, MI 48187 | Nursing Home Administrator | 1996-08-14 ~ 1997-09-30 |
| Habib Sultan | 5902 Edinburgh St Apt #104, Canton, MI 48187 | Pharmacist | 1998-02-01 ~ 1999-01-31 |
| Jennifer Woodward-flogaus | 46278 Polo Dr, Canton, MI 48187-1685 | Speech and Language Pathologist | 1999-09-28 ~ 2000-10-31 |
| Terrell Davis | 42596 Argyle Ct, Canton, MI 48187-2322 | Registered Nurse | 2014-10-07 ~ 2015-09-30 |
| Amy Marie Caragay | 43875 Somerset Sq, Canton, MI 48187-2864 | Registered Nurse | 2019-09-02 ~ 2020-09-30 |
| Find all Licenses in zip 48187 | |||
| City | Canton |
| Zip Code | 48187 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Canton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyle G Ryan | 5 Birdseye Rd, Monroe, CT 06468 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kyle L Blomberg | 78 Concord St, New Haven, CT 06512-4007 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Matthew D Browning | 124 Seymour Rd, Woodbridge, CT 06525 | Advanced Practice Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Matthew J Resinger | 5 Ellen Brady Dr, Richmond, RI 02892-1167 | Advanced Practice Registered Nurse | ~ |
| Matthew P Lemaster | 1 Gold Street Apt. 15a, Hartford, CT 06103-2923 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Matthew R Scoggins | 44 Conard Dr, West Hartford, CT 06107-3620 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Matthew P Dickison | 11 Edgewood Circle, Avon, CT 06001 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Matthew J Witkovic | 10 Kaya Lane, Mansfield Center, CT 06250-3623 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Matthew T Lasky | 956 Long Cove Rd, Gales Ferry, CT 06335 | Advanced Practice Registered Nurse | 1996-07-22 ~ 1997-09-30 |
| Matthew Mandzik Aprn | 4720 Rosedale Ave Apt 709, Bethesda, MD 20814 | Advanced Practice Registered Nurse | 2006-04-06 ~ 2007-04-30 |
Please comment or provide details below to improve the information on KYLE MATTHEW FARR.
| 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).