KIMBERLY A MODRELL (Credential# 1221734) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.
KIMBERLY A MODRELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.121263. The credential type is registered nurse. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 801 Sw Country Hill Dr, Grain Valley, MO 64029-9397. The current status is inactive.
| Licensee Name | KIMBERLY A MODRELL |
| Credential ID | 1221734 |
| Credential Number | 10.121263 |
| Credential Type | Registered Nurse |
| Business Address |
801 Sw Country Hill Dr Grain Valley MO 64029-9397 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-08-07 |
| Effective Date | 2017-11-01 |
| Expiration Date | 2018-10-31 |
| Refresh Date | 2019-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1225749 | 10.119062-TEMP | Registered Nurse - Temporary | 2014-05-29 | 2014-05-29 - 2014-09-25 | INACTIVE |
| Street Address | 801 SW COUNTRY HILL DR |
| City | GRAIN VALLEY |
| State | MO |
| Zip Code | 64029-9397 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy L Niederschulte | 603 Nw Eagle Ct, Grain Valley, MO 64029 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Tara Christine Patel | 1106 Sw Foxtail Dr, Grain Valley, MO 64029 | Registered Nurse | 2019-11-19 ~ 2020-08-31 |
| Robin Ellen Williams | 901 Stone Brook Dr, Grain Valley, MO 64029 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Sheryl D Crawford | 206 Garden St, Grain Valley, MO 64029 | Physical Therapist | 1999-09-17 ~ 2000-11-30 |
| Bradley S Carver | 1423 Ne Mary Ct, Grain Valley, MO 64029-7216 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jeffrey A Testa | 1102 Nw Long Dr, Grain Valley, MO 64029-7306 | Real Estate Salesperson | ~ |
| Michelle L Boren | 2221 Ne 23rd St, Grain Valley, MO 64029-9693 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Elaine M Seever | 8901 S Litchford Rd, Grain Valley, MO 64029-9788 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| City | GRAIN VALLEY |
| Zip Code | 64029 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + GRAIN VALLEY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly Forlivio | 21 Kimberly Dr, Brookfield, CT 06804-1309 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| Kimberly L Low | 7 Country Way, Wallingford, CT 06492 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Kimberly A Hvozdik | 11 Larch Rd, Groton, CT 06340-2916 | Registered Nurse | ~ |
| Kimberly A Mcmanus | Po Box 293, Bethlehem, CT 06751 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Kimberly J Ray | P.o. Box 2060, Andalusia, AL 36420 | Registered Nurse | 2002-03-25 ~ 2002-12-31 |
| Kimberly V Mcgeady | 72 Violet Ln, Stormville, NY 12582-5266 | Registered Nurse | ~ |
| Kimberly K James | P O Box 197, Quechee, VT 05059 | Registered Nurse | ~ 1995-10-31 |
| Kimberly Sue Censullo | 69 Parker St, Agawam, MA 01001-2419 | Registered Nurse | ~ |
| Kimberly M Culliinan | 158 Hawthorne Dr Apt 12d, New London, CT 06320-4027 | Registered Nurse | ~ |
| Kimberly A Starks | 117 Providence Ave, Riverside, RI 02915-3403 | Registered Nurse | ~ |
Please comment or provide details below to improve the information on KIMBERLY A MODRELL.
| 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).