KIMBERLY DIANE BAUCOM (Credential# 2013794) is licensed (Esthetician) with Connecticut Department of Consumer Protection. The license effective date is March 5, 2020. The license expiration date date is February 28, 2022. The license status is ACTIVE.
KIMBERLY DIANE BAUCOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #EST.000021. The credential type is esthetician. The effective date is March 5, 2020. The expiration date is February 28, 2022. The business address is 73 Beaver Dam Rd, Killingworth, CT 06419-1317. The current status is active.
Licensee Name | KIMBERLY DIANE BAUCOM |
Credential ID | 2013794 |
Credential Number | EST.000021 |
Credential Type | Esthetician |
Business Address |
73 Beaver Dam Rd Killingworth CT 06419-1317 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-03-05 |
Effective Date | 2020-03-05 |
Expiration Date | 2022-02-28 |
Refresh Date | 2020-03-06 |
Street Address | 73 BEAVER DAM RD |
City | KILLINGWORTH |
State | CT |
Zip Code | 06419-1317 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06419 |
City | KILLINGWORTH |
Zip Code | 06419 |
License Type | Esthetician |
License Type + County | Esthetician + KILLINGWORTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Earnest L Baucom | Po Box 1261, Valley, AL 36854 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Kelly Ann Baucom | 9116 Sw 51st Rd, Gainesville, FL 32608 | Registered Nurse | 2017-12-15 ~ 2018-11-30 |
Markiea Baucom-dolphy | 175 Devonwood Dr, Waterbury, CT 06708-2325 | Licensed Practical Nurse | 2020-03-11 ~ 2020-06-30 |
Kimberly A Slater | 966 Ponus Rdg, New Canaan, CT 06840-3418 | Esthetician | ~ |
Tyeisha Baucom | 22 West Porter St, Waterbury, CT 06708 | Medication Administration Certification | 2019-12-27 ~ 2021-12-27 |
Patricia J Sanford | 8 Diane Lane, Colchester, CT 06415 | Esthetician | 2020-06-13 ~ 2021-10-31 |
Diane H Buijnarowski | 3 Toms Drive, Wallingford, CT 06492 | Esthetician | 2020-06-19 ~ 2021-09-30 |
Diane Marie Destefano | 3318 Berlin Tpke Ste C, Newington, CT 06111-5102 | Esthetician | 2020-03-24 ~ 2022-03-31 |
Diane C Erianne Pa | 10 Kimberly Lane, Watertown, CT 06795 | Physician Assistant | 2012-05-01 ~ 2013-04-30 |
Diane M Raymond · Ziewacz | 71 Kimberly Lane, Wethersfield, CT 06109 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on KIMBERLY DIANE BAUCOM.
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).