KIMBERLY JANE LAKE
Registered Nurse


Address: 142 Blackberry Drive, Stamford, CT 06903

KIMBERLY JANE LAKE (Credential# 1434110) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is September 8, 2017. The license expiration date date is August 31, 2018. The license status is INACTIVE.

Business Overview

KIMBERLY JANE LAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.144777. The credential type is registered nurse. The effective date is September 8, 2017. The expiration date is August 31, 2018. The business address is 142 Blackberry Drive, Stamford, CT 06903. The current status is inactive.

Basic Information

Licensee Name KIMBERLY JANE LAKE
Credential ID 1434110
Credential Number 10.144777
Credential Type Registered Nurse
Business Address 142 Blackberry Drive
Stamford
CT 06903
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-09-08
Effective Date 2017-09-08
Expiration Date 2018-08-31
Refresh Date 2018-12-04

Office Location

Street Address 142 BLACKBERRY DRIVE
City STAMFORD
State CT
Zip Code 06903

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Mark D Creedon 155 Woodchuck Rd, Stamford, CT 06903 Architect 2020-08-01 ~ 2021-07-31
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Genna L Meier 340 Webbs Hill Road, Stamford, CT 06903 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
Elizabeth A Porcheddu 367 Briar Brae Road, Stamford, CT 06903 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Sarah Elizabeth Woxholdt 65 Cousins Rd, Stamford, CT 06903 Registered Nurse 2020-07-01 ~ 2021-06-30
Cynthia L Castronovo-morabito · Lovallo/cameron 37 Gutzon Borglum Rd, Stamford, CT 06903 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Michele1 Sukatski 61 Shady Ln, Stamford, CT 06903 Medication Administration Certification ~
Joan M Bellantoni 239 Fishing Trail, Stamford, CT 06903 Notary Public Appointment 2020-09-01 ~ 2025-08-31
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Competitor

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City STAMFORD
Zip Code 06903
License Type Registered Nurse
License Type + County Registered Nurse + STAMFORD

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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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