KRISTEN CLARK (Credential# 1617732) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
KRISTEN CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.159670. The credential type is registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 2755 Sharon Hollow Rd, Grass Lake, MI 49240. The current status is active.
| Licensee Name | KRISTEN CLARK |
| Credential ID | 1617732 |
| Credential Number | 10.159670 |
| Credential Type | Registered Nurse |
| Business Address |
2755 Sharon Hollow Rd Grass Lake MI 49240 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1618146 | 10.156717-TEMP | Registered Nurse - Temporary | 2018-12-03 | 2018-12-03 - 2019-04-02 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen Clark | 45 Liberty St, Manchester, CT 06040-4129 | Medical Marijuana Producer Employee | 2018-05-21 ~ 2019-05-20 |
| Kristen Clark | 6 Belshyre Court, Goshen, CT 06756 | Master's Level Social Worker - Temporary Permit | 2020-05-22 ~ 2020-09-07 |
| Street Address | 2755 Sharon Hollow Rd |
| City | Grass Lake |
| State | MI |
| Zip Code | 49240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John H Mckim | 813 Church St, Grass Lake, MI 49240-9362 | Public Service Technician - Telephone | 2011-09-06 ~ 2012-09-30 |
| Mandy Lynn Maitland | 14855 Grass Lake Rd, Grass Lake, MI 49240-9779 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| City | Grass Lake |
| Zip Code | 49240 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Grass Lake |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen L Clark | 12 Landing Rd, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristen M Wrocklage | 42 Clark Ave, North Haven, CT 06473-3604 | Psychologist | 2019-11-01 ~ 2020-10-31 |
| Kristen Clark Vollaro | 15 Westwood Road, Ivoryton, CT 06442 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Kristen A Clark | 491 Middletown Avenue, Wethersfield, CT 06109 | Notary Public Appointment | 1988-05-05 ~ 1993-03-31 |
| Kristen Marie Clark | 43 Melrose Avenue, Bridgeport, CT 06605 | Notary Public Appointment | 2020-06-04 ~ 2025-06-30 |
| Kristen D Rodman | Po Box 111, Brooklyn, CT 06234-0111 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Kristen E Transue | Po Box 222, Andover, CT 06232-0222 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Kristen Morris | 334 South St, Northbrough, MA 01532 | Registered Nurse | ~ |
| Kristen Chu-yun Eng | 175 Shore Rd, Old Greenwich, CT 06870-2120 | Registered Nurse | 2020-06-04 ~ 2021-02-28 |
| Kristen Troccolo | 23 Wachusett Cir, Shrewsbury, MA 01545-1800 | Registered Nurse | ~ |
Please comment or provide details below to improve the information on KRISTEN CLARK.
| 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).