KELLY D BODECKER
Registered Nurse


Address: 888 East Clinton Street, Pheonix, AZ 85020

KELLY D BODECKER (Credential# 589220) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 25, 2008. The license expiration date date is January 31, 2009. The license status is INACTIVE.

Business Overview

KELLY D BODECKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.085218. The credential type is registered nurse. The effective date is June 25, 2008. The expiration date is January 31, 2009. The business address is 888 East Clinton Street, Pheonix, AZ 85020. The current status is inactive.

Basic Information

Licensee Name KELLY D BODECKER
Credential ID 589220
Credential Number 10.085218
Credential Type Registered Nurse
Business Address 888 East Clinton Street
Pheonix
AZ 85020
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-06-25
Effective Date 2008-06-25
Expiration Date 2009-01-31
Refresh Date 2009-07-08

Office Location

Street Address 888 East Clinton Street
City Pheonix
State AZ
Zip Code 85020

Licenses in the same zip code

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Monica Holmberg 1111 E. Myrtle Ave, Phoenix, AZ 85020 Pharmacist 2020-02-01 ~ 2022-01-31
Meenakshi Pandit 2315 E Orangewood Avenue, Phoenix, AZ 85020 Physician/surgeon 2019-10-01 ~ 2020-09-30
Hunt Construction Group Inc 7720 N 16th St, Phoenix, AZ 85020 Major Contractor 2019-07-01 ~ 2020-06-30
Kara Saliba 1329 East Golden Lane, Phoenix, AZ 85020 Emergency Medical Technician ~
Laura Phillips 7601 North 10th St, Phoenix, AZ 85020 Registered Nurse 2013-01-01 ~ 2013-12-31
Barbara Benn 8150 North Central Ave Unit #12, Phoenix, AZ 85020 Licensed Practical Nurse 2011-12-01 ~ 2012-11-30
Bernice P Kline 8115 N 18th Street, Phoenix, AZ 85020 Registered Nurse 2011-09-01 ~ 2012-08-31
Donna M Probasco 1228 E Royal Palm Road, Phoenix, AZ 85020 Registered Nurse 2011-05-01 ~ 2012-04-30
Anne E Enos 8011 North 7th St, Phoenix, AZ 85020 Registered Nurse 1997-09-16 ~ 1998-10-31
Karen L Waters 11231 N 11th Street, Phoenix, AZ 85020 Registered Nurse 2007-04-27 ~ 2008-06-30
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Competitor

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City Pheonix
Zip Code 85020
License Type Registered Nurse
License Type + County Registered Nurse + Pheonix

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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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