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.
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.
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 |
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 |
Street Address | 3 HIGHVIEW LANE |
City | NEW HAVEN |
State | CT |
Zip Code | 06513 |
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 |
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 |
City | NEW HAVEN |
Zip Code | 06513 |
License Type | Registered Nurse |
License Type + County | Registered Nurse + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brianna Deland | 20 Brockway Rd, Ellington, CT 06029-2100 | Registered Nurse | ~ |
Brockway Construction LLC | 22 Ortega Drive, Preston, CT 06365 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
Brigitte Denyse Traister | 14 Brockway Rd, Ellington, CT 06029-2100 | Registered Nurse | ~ |
Andrea E Embry | 8 Brockway Rd, Ellington, CT 06029 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
Constance Brockway | 3118 W Gray St, Tampa, FL 33609-1516 | Registered Nurse | ~ |
Jillian E Brockway | 12 Homewood Place, Norwich, CT 06360 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Kathleen M Huston | 10985 Yale Rd, Brockway, MI 48097-3014 | Registered Nurse | 2016-09-01 ~ 2017-08-31 |
Joseph C Wilson | 7 Brockway Road, Ellington, CT 06029 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Kathleen Brockway | 28 Paley Farms Rd, Portland, CT 06480 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Tricia K Brockway | 711 Chattanooga Valley Rd, Flintstone, GA 30725-2006 | Registered Nurse | 2011-06-01 ~ 2012-05-31 |
Please comment or provide details below to improve the information on KIM L BROCKWAY.
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).