DEBRA JEAN BROCK (Credential# 1801005) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
DEBRA JEAN BROCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.166086. The credential type is registered nurse. The effective date is November 1, 2019. The expiration date is November 30, 2020. The business address is 3 Haycook Dr, Cuddebackville, NY 12729-5122. The current status is active.
| Licensee Name | DEBRA JEAN BROCK |
| Credential ID | 1801005 |
| Credential Number | 10.166086 |
| Credential Type | Registered Nurse |
| Business Address |
3 Haycook Dr Cuddebackville NY 12729-5122 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-01 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1802112 | 10.165857-TEMP | Registered Nurse - Temporary | 2019-10-24 | 2019-10-24 - 2020-02-21 | INACTIVE |
| Street Address | 3 HAYCOOK DR |
| City | CUDDEBACKVILLE |
| State | NY |
| Zip Code | 12729-5122 |
| City | CUDDEBACKVILLE |
| Zip Code | 12729 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + CUDDEBACKVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra Jean Meyer | 8 Deer Run, Suffield, CT 06078-2373 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Debra Jean Middleton | 8032 Wilnoty Drive, Knoxville, TN 37931 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Debra Jean Kloyda | 4765 Valley Forge Ln N, Plymouth, MN 55442-2551 | Registered Nurse | 2019-03-01 ~ 2020-02-29 |
| Kf Brock LLC | 228 Park Ave South, New York, NY 10003-1502 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Brock Barnes American Lgn Pst 33 | 7 Race Avenue, Plainville, CT 06062 | Club Liquor | 2020-02-02 ~ 2021-06-01 |
| Mairead Brock | 71 Dandy Dr, Cos Cob, CT 06807-2207 | Registered Nurse | ~ |
| Nena H Brock | 126 Queens Ct, Stafford, TX 77477-6252 | Registered Nurse | ~ |
| Ronald A Merritt | 40 Brock St Apt 2, Brighton, MA 02135-2664 | Registered Nurse | 2015-01-06 ~ 2015-04-30 |
| K'lin Brock | 1136 Whitt Cut Off Rd, Perrin, TX 76486 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Kathleen Brock | 325 Rosewell St., Springfield, MA 01109 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on DEBRA JEAN BROCK.
| 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).