KIMBERLY P GERVAIS (Credential# 586309) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is APPROVED.
KIMBERLY P GERVAIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.082307. The credential type is registered nurse. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 263 Farmington Avenue, Farmington, CT 06030. The current status is approved.
| Licensee Name | KIMBERLY P GERVAIS |
| Credential ID | 586309 |
| Credential Number | 10.082307 |
| Credential Type | Registered Nurse |
| Business Address |
263 Farmington Avenue Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2007-07-06 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1083558 | 12.005061 | Advanced Practice Registered Nurse | 2012-08-07 | 2020-07-01 - 2021-06-30 | APPROVED |
| 1120638 | CSP.0053590 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-09-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 850379 | 70.010646 | Emergency Medical Technician | 2009-04-03 | 2009-04-03 - 2010-03-31 | INACTIVE |
| Street Address | 263 Farmington Avenue |
| City | Farmington |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Davis Aasen | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Christopher D Lemoine | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Dylan Buller | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Lindelof | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Colin J Pavano | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Barrett B Torre | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Samantha Slattery | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ethan A Miller | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Patrick Bergamo | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Shriya Gupta | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yvon Gervais · Gervais Foundation | 45 Chestnut Dr, Windsor, CT 06095 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Raymond W Gervais · Ray Gervais Builders | 43 Sterling Rd, Moosup, CT 06354 | Home Improvement Contractor | 2008-12-29 ~ 2009-11-30 |
| Mark E Gervais · Gervais Construction | 51 Yorkshire Ln, Windsor, CT 06095 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Kimberly Gervais | 40 Miller St, Fall River, MA 02721-2457 | Hairdresser/cosmetician | 2020-01-01 ~ 2021-12-31 |
| Dennis Gervais · Gervais Remodeling | 4 Sadlon Rd, Columbia, CT 06237 | Home Improvement Contractor | 2006-05-12 ~ 2006-11-30 |
| Kenneth W Gervais · Ken Gervais Painting & Wallpaper | 19 Case St, Canton, CT 06019-5006 | Home Improvement Contractor | 2014-04-29 ~ 2014-11-30 |
| Gervais Bros Roofing | Po Box 816, Newtown, CT 06470 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Laurie C Gervais | 597 Hill St, Suffield, CT 06078-1513 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Patricia Gervais | 93 Ridgefield Rd, Wallingford, CT 06492 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Rosalie A Gervais | 80 Lenore Dr, Meriden, CT 06450 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KIMBERLY P GERVAIS.
| 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).