JACQUELYN P KILMAN APRN (Credential# 1399100) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JACQUELYN P KILMAN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064638. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 131 Rock Rd, Burlington, CT 06013-1615. The current status is active.
Licensee Name | JACQUELYN P KILMAN APRN |
Credential ID | 1399100 |
Credential Number | CSP.0064638 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
131 Rock Rd Burlington CT 06013-1615 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-01-21 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
618720 | 10.E49438 | Registered Nurse | 1986-09-17 | 2019-10-01 - 2020-09-30 | ACTIVE |
680940 | 12.002762 | Advanced Practice Registered Nurse | 2002-09-20 | 2019-10-01 - 2020-09-30 | ACTIVE |
323908 | CSP.0032886 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 131 ROCK RD |
City | BURLINGTON |
State | CT |
Zip Code | 06013-1615 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jean F Stender | 100 Rock Rd, Burlington, CT 06013-1615 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Cory M Minella | 102 Rock Rd, Burlington, CT 06013-1615 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
Paul Stanislaw | 99 Rock Rd, Burlington, CT 06013-1615 | Real Estate Broker | 2008-04-01 ~ 2009-03-31 |
Courtney Halina Minella | 102 Rock Rd, Burlington, CT 06013-1615 | Registered Nurse | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amanda L Obrizzo | 81 W Side Blvd, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Gwendolyn A Nowacki | 16 Village Ln, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Erinne P Houton | 298 Jerome Ave, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Subway of Burlington | 292 Spielman Hwy, Burlington, CT 06013 | Bakery | 2020-07-01 ~ 2021-06-30 |
Aneta Gurtowsky | 2 West Ledge Road, Burlington, CT 06013 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Maria L Main | 79 Pine Hill Road, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Steven T Miles | 26 Angelas Way, Burlington, CT 06013 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Sally A Larsen | 515 Jerome Avenue, Burlington, CT 06013 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Barbara C Grindal | 118 Punch Brook Rd, Burlington, CT 06013 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
Insu Kim | 48 Monce Rd, Burlington, CT 06013 | Nail Technician | 2020-06-18 ~ 2022-04-30 |
Find all Licenses in zip 06013 |
City | BURLINGTON |
Zip Code | 06013 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BURLINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jacquelyn L Wilson Aprn | 58 King Ave, Folcroft, PA 19032-1022 | Controlled Substance Registration for Practitioner | 2009-02-10 ~ 2011-02-28 |
Jacquelyn E Moss | 196 Foster St, New Haven, CT 06511-2543 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Jacquelyn Kubis | 470 Oakwood Ave, West Hartford, CT 06110-1320 | Controlled Substance Registration for Practitioner | 2019-04-12 ~ 2021-02-28 |
Jacquelyn D Choate | 20 Greenwood Dr, East Greenbush, NY 12061-2022 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-01-23 |
Jacquelyn M Brewer | 32 Strawberry Hill Ct, Stamford, CT 06902-2594 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Linda Thomson Aprn | 115 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Jessica L Rak Aprn | 700 Summer St, Stamford, CT 06901 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Olufunmilola K Atandeyi Aprn | 640 Mix Ave Apt 2b, New Haven, CT 06514-2360 | Controlled Substance Registration for Practitioner | 2017-06-19 ~ 2019-02-28 |
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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).