KIM L BROCKWAY
Registered Nurse


Address: 3 Highview Lane, New Haven, CT 06513

KIM L BROCKWAY (Credential# 638700) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 12, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

KIM L BROCKWAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R32163. The credential type is registered nurse. The effective date is January 12, 2004. The expiration date is February 28, 2005. The business address is 3 Highview Lane, New Haven, CT 06513. The current status is inactive.

Basic Information

Licensee Name KIM L BROCKWAY
Credential ID 638700
Credential Number 10.R32163
Credential Type Registered Nurse
Business Address 3 Highview Lane
New Haven
CT 06513
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1979-07-30
Effective Date 2004-01-12
Expiration Date 2005-02-28
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
679323 12.001143 Advanced Practice Registered Nurse 1995-07-07 2004-01-12 - 2005-02-28 INACTIVE

Office Location

Street Address 3 HIGHVIEW LANE
City NEW HAVEN
State CT
Zip Code 06513

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Janet R Hills-koseski 3 Highview Lane, New Haven, CT 06513 Licensed Clinical Social Worker 2007-01-19 ~ 2008-01-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Odalys Guartan 17 Dell Dr, East Haven, CT 06513 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2022-06-30
Marilu E Espinsa 148 Poplar St, New Haven, CT 06513 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Javon Christian Woodard 404 Poplar St, New Haven, CT 06513 Registered Nurse ~
Norma Congacha 22 Farren Ave., New Haven, CT 06513 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2022-05-31
Sonia Sunanita Salazar 48 Wolcott St 1 L., New Haven, CT 06513 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Rosa Zuna 426 Ferry St. 1st Fl, New Haven, CT 06513 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Veronica Congacha 28 Farren Ave., New Haven, CT 06513 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Jessica L Vallejo 41 Oak Ridge Dr, New Haven, CT 06513 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2022-02-28
Ami Nosenzo · Nosenzo 1423 Quinnipiac Ave, New Haven, CT 06513 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Taquetta Delis Mitchell 40 Foxon Hill Rd I34, New Haven, CT 06513 Registered Nurse 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06513

Competitor

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City NEW HAVEN
Zip Code 06513
License Type Registered Nurse
License Type + County Registered Nurse + NEW HAVEN

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Dataset Information

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).

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