KIMBERLY L VETAL APRN
Advanced Practice Registered Nurse


Address: 181 Pine Acre Road, Springfield, MA 01129

KIMBERLY L VETAL APRN (Credential# 679858) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2001. The license expiration date date is May 31, 2002. The license status is INACTIVE.

Business Overview

KIMBERLY L VETAL APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.001679. The credential type is advanced practice registered nurse. The effective date is May 24, 2001. The expiration date is May 31, 2002. The business address is 181 Pine Acre Road, Springfield, MA 01129. The current status is inactive.

Basic Information

Licensee Name KIMBERLY L VETAL APRN
Credential ID 679858
Credential Number 12.001679
Credential Type Advanced Practice Registered Nurse
Business Address 181 Pine Acre Road
Springfield
MA 01129
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-10-10
Effective Date 2001-05-24
Expiration Date 2002-05-31
Refresh Date 2009-07-10

Other licenses

ID Credential Code Credential Type Issue Term Status
654439 10.R54697 Registered Nurse 1997-09-26 2000-05-09 - 2001-05-31 INACTIVE
186692 CSP.0026268 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-02-29 - 2001-02-28 INACTIVE

Office Location

Street Address 181 PINE ACRE ROAD
City SPRINGFIELD
State MA
Zip Code 01129

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Competitor

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City SPRINGFIELD
Zip Code 01129
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + SPRINGFIELD

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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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