KIMBERLY K DIZMANG APRN (Credential# 261086) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
KIMBERLY K DIZMANG APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030516. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 9378 Arlington Expy #502, Jacksonville, FL 32225. The current status is inactive.
| Licensee Name | KIMBERLY K DIZMANG APRN |
| Credential ID | 261086 |
| Credential Number | CSP.0030516 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
9378 Arlington Expy #502 Jacksonville FL 32225 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 680640 | 12.002462 | Advanced Practice Registered Nurse | 2001-03-01 | 2011-11-01 - 2012-10-31 | INACTIVE |
| 655013 | 10.R55271 | Registered Nurse | 1998-04-03 | 2011-11-01 - 2012-10-31 | INACTIVE |
| Street Address | 9378 ARLINGTON EXPY #502 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32225 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine May Mcmullan | 234 Hickory Hollow Dr S, Jacksonville, FL 32225 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marguerite A Brenner | 1157 Candlebark Drive, Jacksonville, FL 32225 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Charles B Salem | 4726 Mariners Point Drive, Jacksonville, FL 32225 | Architect | 2017-08-01 ~ 2018-07-31 |
| Frederick M Payne · Fred Payne - Builder | 12344 Tiger Creek Lane, Jacksonville, FL 32225 | New Home Construction Contractor | 2015-10-01 ~ 2017-09-30 |
| Margaret M Grissinger | 13245 Atlantic Blvd, Jacksonville, FL 32225 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Estrella Espinal Baxter | 2708 Caroline Hills Dr, Jacksonville, FL 32225 | Registered Nurse | 2019-01-02 ~ 2020-01-31 |
| Arthur A Mastronicola Jr | 12626 Willoughby Lane, Jacksonville, FL 32225 | Land Surveyor | 2012-02-01 ~ 2013-01-31 |
| Hayley Pham | 13759 Saxon Lake Drive, Jacksonville, FL 32225 | Real Estate Salesperson | 2015-06-01 ~ 2016-05-31 |
| George C Hensley · Prsns Brnckrhff Cnstrctn | 1411 Blackhawk Trl E, Jacksonville, FL 32225 | Professional Engineer | 1992-02-03 ~ 1993-01-31 |
| Wesley H Zezulak · Rynlds Smth & Hills | 11643 Francis Drake Dr, Jacksonville, FL 32225 | Professional Engineer | 1991-01-02 ~ 1992-01-31 |
| Find all Licenses in zip 32225 | |||
| City | JACKSONVILLE |
| Zip Code | 32225 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + JACKSONVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly A Gonzalez Aprn | 8 Budding Rdg, Meriden, CT 06450-3508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly A Nieves Aprn | 18 Rainbow Crest, Hopewell Jct, NY 12533 | Controlled Substance Registration for Practitioner | 2008-03-07 ~ 2009-02-28 |
| Kimberly Jt Kahler Aprn | 100 State Street#133, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2005-03-04 ~ 2006-02-28 |
| Kimberly B Collins Aprn | 85 Tolland Green, Tolland, CT 06084-2439 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Shahnaz Mootabar Aprn | 12 Flagler Dr, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Christine H Oha Aprn | 905 Marble Dr, Naples, FL 34104-0818 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Nancy Moriber Aprn | Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Evelyne Y Lo Aprn | 39 Bontempo Rd, Newton, MA 02459-3601 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on KIMBERLY K DIZMANG APRN.
| 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).