KYLIE M KUCK
Advanced Practice Registered Nurse


Address: 4 Anderson Ave, Worcester, MA 01604-2318

KYLIE M KUCK (Credential# 1643035) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.

Business Overview

KYLIE M KUCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.008177. The credential type is advanced practice registered nurse. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 4 Anderson Ave, Worcester, MA 01604-2318. The current status is active.

Basic Information

Licensee Name KYLIE M KUCK
Credential ID 1643035
Credential Number 12.008177
Credential Type Advanced Practice Registered Nurse
Business Address 4 Anderson Ave
Worcester
MA 01604-2318
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-04-24
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-06-19

Other licenses

ID Credential Code Credential Type Issue Term Status
1131719 10.110450 Registered Nurse 2013-03-05 2020-08-01 - 2021-07-31 ACTIVE
1131890 10.109012-TEMP Registered Nurse - Temporary 2012-11-14 2012-11-14 - 2013-03-14 INACTIVE

Office Location

Street Address 4 ANDERSON AVE
City WORCESTER
State MA
Zip Code 01604-2318

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Dennis J Mercure 44 Ernest Ave, Worcester, MA 01604 Pharmacist 2018-02-01 ~ 2020-01-31
Johnathan A Simpson 113 Warner Ave, Worcester, MA 01604 Professional Counselor 2020-04-01 ~ 2021-03-31
Allan Kasozi Musoke 59 Heywood St, Worcester, MA 01604 Registered Nurse 2019-01-14 ~ 2019-10-31
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Competitor

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City WORCESTER
Zip Code 01604
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + WORCESTER

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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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