RENEE M BROCKETT APRN (Credential# 624319) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RENEE M BROCKETT APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E55410. The credential type is registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 10 Taylor Ln, Wallingford, CT 06492-6019. The current status is active.
| Licensee Name | RENEE M BROCKETT APRN |
| Credential ID | 624319 |
| Credential Number | 10.E55410 |
| Credential Type | Registered Nurse |
| Business Address |
10 Taylor Ln Wallingford CT 06492-6019 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1992-09-10 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 680684 | 12.002506 | Advanced Practice Registered Nurse | 2001-06-01 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 281113 | CSP.0031045 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-06-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 877080 | 71.930223 | Advanced Emergency Medical Technician | 1993-04-01 | - 2001-03-31 | INACTIVE |
| 857571 | 70.880929 | Emergency Medical Technician | 1955-05-05 | - 1994-06-30 | INACTIVE |
| Street Address | 10 TAYLOR LN |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-6019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul J Brockett | 10 Taylor Ln, Wallingford, CT 06492-6019 | Paramedic | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vincenzo P Di Natale | 8 Taylor Ln, Wallingford, CT 06492-6019 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Michaela Leslie · Miss Cupcake | 5 Taylor Ln, Wallingford, CT 06492-6019 | Cottage Food Operation | 2018-11-05 ~ 2020-02-28 |
| Mark T Wollen | 15 Taylor Ln, Wallingford, CT 06492-6019 | Electrical Limited Journeyperson | 2020-01-18 ~ 2020-09-30 |
| Hinali D Amin | 6 Taylor Ln, Wallingford, CT 06492-6019 | Pharmacy Intern | 2016-09-15 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Priscilla Russo | 12 Brockett Pt Rd, Branford, CT 06405 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Jo-anne M Mckeon | 82 Brockett St, Newington, CT 06111-3901 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Laurie C Corona | 10 Brockett Rd, Niantic, CT 06357 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Soji J Thalody | 10 Brockett Rd, Wallingford, CT 06492-5630 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Douglas J Fisher | 15 Brockett Rd, Wallingford, CT 06492-5632 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Nancy B Farrelly | 96 Brockett St, Newington, CT 06111 | Registered Nurse | 1996-10-01 ~ 1997-11-30 |
| Kerin A Hinman | 16 Brockett Road, Wallingford, CT 06492 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Dina L Angelico | 6 Brockett Road, Wallingford, CT 06492-2685 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kimberly J Sabo | 24 Brockett Road, Wallingford, CT 06492 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Kristi A Brockett | 34 Glenwood Rd, North Branford, CT 06471-1543 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on RENEE M BROCKETT 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).