KYLE L BLOMBERG (Credential# 1602242) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
KYLE L BLOMBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007863. The credential type is advanced practice registered nurse. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 78 Concord St, New Haven, CT 06512-4007. The current status is active.
| Licensee Name | KYLE L BLOMBERG |
| Credential ID | 1602242 |
| Credential Number | 12.007863 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
78 Concord St New Haven CT 06512-4007 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-20 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1164129 | 10.112361 | Registered Nurse | 2013-07-22 | 2020-05-01 - 2021-04-30 | ACTIVE |
| 1615470 | CSP.0069882 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-11-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 78 CONCORD ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06512-4007 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Blomberg · Connecticut Cocktail Car | 78 Concord St, New Haven, CT 06512-4007 | Caterer | 2019-09-24 ~ 2021-01-23 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alyssa M Ruotolo | 88 Concord St, New Haven, CT 06512-4007 | Hairdresser/cosmetician | 2019-12-01 ~ 2021-11-30 |
| Nicholas Demayo | 94 Concord St, New Haven, CT 06512-4007 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
| Cheryl Burack | 80 Concord St, New Haven, CT 06512-4007 | Bingo Operator | 2017-09-14 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | NEW HAVEN |
| Zip Code | 06512 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyle G Ryan | 5 Birdseye Rd, Monroe, CT 06468 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kyle Matthew Farr | 1856 Tradition Dr, Canton, MI 48187 | Advanced Practice Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Richard M Blomberg · R M Blomberg Construction | 16 Valley View Rd, Newtown, CT 06470-1922 | Home Improvement Contractor | 2020-01-17 ~ 2020-11-30 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Peter Blomberg · P Blomberg Bldg & Remodeling | 34 Botsford Hill Rd, Newtown, CT 06470-2742 | Emergency Medical Responder | 2018-01-29 ~ 2021-01-01 |
| Amy E Bruno | 319 Lafayette St # 151, New York, NY 10012-2711 | Advanced Practice Registered Nurse | 2019-10-30 ~ 2020-10-31 |
| Kathleen Dibiase | 26 Independence Way, Titusville, NJ 08560 | Advanced Practice Registered Nurse | ~ |
| Christine Butler | 127 Camp Rd, Charlston, SC 29412 | Advanced Practice Registered Nurse | ~ |
| Nancy F Parker | Rfd 2 Box 310, Springfield, VT 05156 | Advanced Practice Registered Nurse | 1995-03-24 ~ 1996-03-31 |
| Connie Y Chu | 816 S Stoneman Ave Apt F, Alhambra, CA 91801-5809 | Advanced Practice Registered Nurse | 2014-08-01 ~ 2015-07-31 |
Please comment or provide details below to improve the information on KYLE L BLOMBERG.
| 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).