KRISTOPHER K SHIVELY
Registered Nurse


Address: Box 1001, V0j 1e0

KRISTOPHER K SHIVELY (Credential# 574636) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 12, 2004. The license expiration date date is October 31, 2005. The license status is INACTIVE.

Business Overview

KRISTOPHER K SHIVELY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.070629. The credential type is registered nurse. The effective date is August 12, 2004. The expiration date is October 31, 2005. The business address is Box 1001, V0j 1e0. The current status is inactive.

Basic Information

Licensee Name KRISTOPHER K SHIVELY
Credential ID 574636
Credential Number 10.070629
Credential Type Registered Nurse
Business Address Box 1001
V0j 1e0
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-02-06
Effective Date 2004-08-12
Expiration Date 2005-10-31
Refresh Date 2009-07-08

Office Location

Street Address Box 1001
City V0J 1E0

Competitor

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City V0J 1E0
License Type Registered Nurse
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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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