KATHLEEN D BONVOULOIR
MC GANN


Address: 1012 Hidden Jewel Lane, Wake Forest, NC 27587

KATHLEEN D BONVOULOIR (Credential# 999383) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2013. The license expiration date date is September 30, 2014. The license status is INACTIVE.

Business Overview

KATHLEEN D BONVOULOIR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.100721. The credential type is registered nurse. The effective date is October 1, 2013. The expiration date is September 30, 2014. The business address is 1012 Hidden Jewel Lane, Wake Forest, NC 27587. The current status is inactive.

Basic Information

Licensee Name KATHLEEN D BONVOULOIR
Doing Business As MC GANN
Credential ID 999383
Credential Number 10.100721
Credential Type Registered Nurse
Business Address 1012 Hidden Jewel Lane
Wake Forest
NC 27587
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-07-07
Effective Date 2013-10-01
Expiration Date 2014-09-30
Refresh Date 2015-01-03

Other licenses

ID Credential Code Credential Type Issue Term Status
666818 11.022672 Licensed Practical Nurse 1988-06-01 2010-10-01 - 2011-09-30 INACTIVE

Office Location

Street Address 1012 Hidden Jewel Lane
City Wake Forest
State NC
Zip Code 27587

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Donna Pierre 3821 Orange Cosmos Ave, Wake Forest, NC 27587 Registered Nurse 2020-07-01 ~ 2021-06-30
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London Medical Supply LLC 12335 Wake Union Church Rd, Wake Forest, NC 27587 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Aquanetta Gifondorwa 1832 Longmont Drive, Wake Forest, NC 27587 Licensed Clinical Social Worker 2020-04-06 ~ 2020-08-31
Shannon Lanee Whitaker 436 Boardwalk Dr, Wake Forest, NC 27587 Registered Nurse 2020-07-01 ~ 2021-06-30
Adrian D Garcia 2105 White Rocks Road, Wake Forest, NC 27587 Certified Public Accountant License 2020-01-09 ~ 2020-12-31
Gail Lyn Martino 5009 Red Quill Way, Wake Forest, NC 27587 Genetic Counselor 2020-02-01 ~ 2021-01-31
Megan Schmitt 1308 Quinn Rd, Wake Forest, NC 27587 Certified Public Accountant License 2019-12-30 ~ 2020-12-31
Jeffrey Palazzo 209 Woodstaff Ave, Wake Forest, NC 27587 Pharmacist 2020-02-01 ~ 2022-01-31
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Competitor

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City Wake Forest
Zip Code 27587
License Type Registered Nurse
License Type + County Registered Nurse + Wake Forest

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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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