KIMBERLY A BLAKE (Credential# 617318) is licensed (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.
KIMBERLY A BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.E47870. The credential type is registered nurse. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 22 Jefferson Lane, Bedford, NY 10506. The current status is active.
| Licensee Name | KIMBERLY A BLAKE |
| Doing Business As | PHIPPS |
| Credential ID | 617318 |
| Credential Number | 10.E47870 |
| Credential Type | Registered Nurse |
| Business Address |
22 Jefferson Lane Bedford NY 10506 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1985-09-04 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 680426 | 12.002248 | Advanced Practice Registered Nurse | 2000-03-13 | 2020-08-01 - 2021-07-31 | ACTIVE |
| 1255497 | CSP.0059043 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-11-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly A Blake | 10 Henry Joseph Dr, Webster, MA 01570-3152 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Street Address | 22 JEFFERSON LANE |
| City | BEDFORD |
| State | NY |
| Zip Code | 10506 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suzanne L Burger | 48 Quarry Lane, Bedford, NY 10506 | Psychologist | 2000-07-26 ~ 2001-08-31 |
| Teodoro E Siguenza | 425 Old Post Road, Bedford, NY 10506 | Architect | 2020-08-01 ~ 2021-07-31 |
| Claudia M Atkinson | 15 Ambler Farm Rd, Bedford, NY 10506 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Andrew J Paul | 168 Millertown Rd, Bedford, NY 10506 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Margo K Lancia | 27 Jefferson Lane, Bedford, NY 10506 | Real Estate Salesperson | 2020-06-02 ~ 2021-05-31 |
| Eleanor L Sullivan | 29 Great Hills Farm Road, Bedford, NY 10506 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Anthony Giordano | 672 Old Post Road, Bedford, NY 10506 | Notary Public Appointment | 2015-06-01 ~ 2020-05-31 |
| Linda Cady | 680 Guard Hill Road, Bedford, NY 10506 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kimberley C Morris | 77 Hook Rd, Bedford, NY 10506 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Benjamin H Ginnel | 258 East Middle Patent Road, Bedford, NY 10506 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10506 | |||
| City | BEDFORD |
| Zip Code | 10506 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + BEDFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean A Blake | C/o Donald Blake, Brevard, NC 28712 | Registered Nurse | 1993-02-25 ~ 1994-02-28 |
| Donna M Blake · Blake | 59 Higgins Ave, Bridgeport, CT 06606 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lbf Blake St Convenience LLC · Blake St Convenience | 295 Blake St, New Haven, CT 06515-1295 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2020-05-15 ~ 2021-02-28 |
| Kimberly A Dennehy | 16 Blake St, Norwalk, CT 06851-3007 | Hairdresser/cosmetician | 2020-02-01 ~ 2022-01-31 |
| Blake L Demarco | 35 Kimberly Dr, Enfield, CT 06082-5756 | Emergency Medical Responder | 2010-05-20 ~ 2013-04-01 |
| Kimberly Forlivio | 21 Kimberly Dr, Brookfield, CT 06804-1309 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| Kimberly Harris | 37 Blake Rd, New Britain, CT 06053-2001 | Family Child Care Substitute | 2019-03-19 ~ 2021-03-31 |
| Ronald W Blake · Ron Blake Carpentry | 49 Thomaston Rd, Morris, CT 06763 | Home Improvement Contractor | 1997-07-08 ~ 1997-11-30 |
| Blake St Convenience | 295 Blake St, New Haven, CT 06515-1295 | Retail Dairy Store | 2020-06-08 ~ 2022-06-30 |
| Blake Enterprises | 31 Bellevue Terrace, Seymour, CT 06483 | Home Improvement Contractor | 1996-03-29 ~ 1996-11-30 |
Please comment or provide details below to improve the information on KIMBERLY A BLAKE.
| 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).