LISA M BROCKETT
Licensed Practical Nurse


Address: 2105 Schooner Drive, Kissimmee, FL 34741

LISA M BROCKETT (Credential# 669213) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 13, 1996. The license expiration date date is July 31, 1997. The license status is INACTIVE.

Business Overview

LISA M BROCKETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.025378. The credential type is licensed practical nurse. The effective date is August 13, 1996. The expiration date is July 31, 1997. The business address is 2105 Schooner Drive, Kissimmee, FL 34741. The current status is inactive.

Basic Information

Licensee Name LISA M BROCKETT
Credential ID 669213
Credential Number 11.025378
Credential Type Licensed Practical Nurse
Business Address 2105 Schooner Drive
Kissimmee
FL 34741
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-05-20
Effective Date 1996-08-13
Expiration Date 1997-07-31
Refresh Date 2009-07-08

Office Location

Street Address 2105 SCHOONER DRIVE
City KISSIMMEE
State FL
Zip Code 34741

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Muriel V Reid 2847 Paige Drive, Kissimmee, FL 34741 Registered Nurse 2019-09-01 ~ 2020-08-31
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Dennis N Guluzy 660 Hudson St, Kissimmee, FL 34741 Heating, Piping & Cooling Limited Journeyperson 2010-09-03 ~ 2011-08-31
Debra M Campbell 3228 Hawks Ridge Point, Kissimmee, FL 34741 Registered Nurse 2011-01-01 ~ 2011-12-31
Jermaine L Robinson 3149 Windover Ave, Kissimmee, FL 34741 Hairdresser/cosmetician 1995-08-14 ~ 1996-09-30
Sue M Dion 1513-b Dorado Drive, Kissimmee, FL 34741 Emergency Medical Technician ~ 1999-10-01
Marlin Medical Group Lp 3600 Commerce Blvd Ste 203, Kissimmee, FL 34741 Nonresident Pharmacy 2002-08-06 ~ 2003-08-31
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City KISSIMMEE
Zip Code 34741
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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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