KIMBERLY J LANE (Credential# 164476) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KIMBERLY J LANE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021436. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 20 Arrowhead Ln, Dayville, CT 06241-1516. The current status is active.
| Licensee Name | KIMBERLY J LANE |
| Credential ID | 164476 |
| Credential Number | CSP.0021436 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 Arrowhead Ln Dayville CT 06241-1516 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 678890 | 12.000708 | Advanced Practice Registered Nurse | 1993-03-02 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 615488 | 10.E45747 | Registered Nurse | 1983-09-12 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 20 ARROWHEAD LN |
| City | DAYVILLE |
| State | CT |
| Zip Code | 06241-1516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Labossiere LLC · Labossiere Building and Development | 8 Arrowhead Ln, Dayville, CT 06241-1516 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
| Richard Minio | 26 Arrowhead Ln, Dayville, CT 06241-1516 | Home Improvement Salesperson | 2008-12-01 ~ 2009-11-30 |
| Robert M Labossiere · Labossiere and Assocs Bldrs | 8 Arrowhead Ln, Dayville, CT 06241-1516 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika L Higgins | 56 Philip Lane, Dayville, CT 06241 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Chrystina Mary Pelletier | 27 Huntley Rd, Dayville, CT 06241 | Esthetician | ~ |
| Elaine Marie Gazzola | 131 Lake Road, Dayville, CT 06241 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Pepin | 239 Hartford Pike, Dayville, CT 06241 | Medication Administration Certification | 2020-06-09 ~ 2022-06-08 |
| Kelly Belanger · Donovan | 61 Pleasant View Dr, Dayville, CT 06241 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Neysha Larkin | 323 Coomer Hill Road, Dayville, CT 06241 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Michael Phillips | 94 Mason Hill Rd, Dayville, CT 06241 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Vy Nguyen | 31 Ware Rd, Dayville, CT 06241 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Melissa L Seiffert · Theroux Gaudette | 59 Stone Road, Dayville, CT 06241 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Cristie Mitchell | 479 Valley Road, Dayville, CT 06241 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Find all Licenses in zip 06241 | |||
| City | DAYVILLE |
| Zip Code | 06241 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DAYVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert D Auerbach Md | 29 Kimberly Lane, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Felicia A Cuomo Md | 1 Kimberly Lane, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly A Keegan | 4 Den Rd, New Hartford, CT 06057-3502 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly D Seifert | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-04-02 ~ 2021-02-28 |
| Kimberly A Merrill | 41 1st Tavern Rd, Jaffrey, NH 03452-5103 | Controlled Substance Registration for Practitioner | ~ |
| Kimberly Zeller Md | 8 Cottage St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2003-01-24 ~ 2004-02-28 |
| Kimberly Lefevre Od | 574 Hopewell Rd, S Glastonbury, CT 06073 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly L Marohn Md | 333 Cedar St, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kimberly Gergelis | 1 Hospital Plz, Stamford, CT 06902-3602 | Controlled Substance Registration for Practitioner | 2018-03-21 ~ 2019-02-28 |
| Kimberly M Chemacki | 196 Parkway S Ste 103, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KIMBERLY J LANE.
| 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).