KIMBERLY J WALLACE
Licensed Practical Nurse


Address: 3119 Decapolis Dr, Charlotte, NC 28215-1864

KIMBERLY J WALLACE (Credential# 675274) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.

Business Overview

KIMBERLY J WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.031473. The credential type is licensed practical nurse. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is 3119 Decapolis Dr, Charlotte, NC 28215-1864. The current status is inactive.

Basic Information

Licensee Name KIMBERLY J WALLACE
Credential ID 675274
Credential Number 11.031473
Credential Type Licensed Practical Nurse
Business Address 3119 Decapolis Dr
Charlotte
NC 28215-1864
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-09-26
Effective Date 2010-04-01
Expiration Date 2011-03-31
Refresh Date 2011-07-01

Office Location

Street Address 3119 DECAPOLIS DR
City CHARLOTTE
State NC
Zip Code 28215-1864

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Wayne A Cole Sr · Cole Contracting 8108 Vermillion Dr, Charlotte, NC 28215 Home Improvement Contractor 2006-10-04 ~ 2007-11-30
M Michael Schon 3131a Amity Court, Charlotte, NC 28215 Professional Engineer 1800-12-27 ~ 1994-01-31
Carrie L Gatlin 10300 Rockwood Road, Charlotte, NC 28215 Physical Therapist Assistant 2008-04-07 ~ 2009-04-30
Lorraine Terry 7519 Michael Dr, Charlotte, NC 28215 Registered Nurse 1994-03-07 ~ 1995-04-30
Esther P Rowe 8100 Denbur Drive, Charlotte, NC 28215 Registered Nurse 2002-11-15 ~ 2004-01-31
Jose R Maldonado 5527 Cutshaw Ct, Charlotte, NC 28215 Real Estate Broker ~
Jeffrey S Pearlroth 5531 Cheerful Ln, Charlotte, NC 28215-1100 Pharmacist 2020-02-01 ~ 2022-01-31
Keith E Rhinehardt 8209 Springhead Ln, Charlotte, NC 28215-7359 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City CHARLOTTE
Zip Code 28215
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + CHARLOTTE

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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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