KIM R WILLIS (Credential# 667976) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
KIM R WILLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.024116. The credential type is licensed practical nurse. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 76 Tesiny Avenue, Bridgeport, CT 06606-2857. The current status is active.
| Licensee Name | KIM R WILLIS |
| Credential ID | 667976 |
| Credential Number | 11.024116 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
76 Tesiny Avenue Bridgeport CT 06606-2857 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-06-03 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 862905 | 70.920791 | Emergency Medical Technician | 1992-02-01 | - 1996-03-31 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim R Willis · Kim R Willis Carpentry | 9 Chickadee Ln, Brookfield, CT 06804-3001 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Street Address | 76 Tesiny Avenue |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-2857 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jorge G Diaz Jr | 76 Tesiny Ave, Bridgeport, CT 06606-2857 | Real Estate Broker | 2016-04-04 ~ 2017-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jo Ann R Willis | 15 Sanford St, Seymour, CT 06483 | Licensed Practical Nurse | 1998-03-25 ~ 1998-12-31 |
| Katherine M Kunda | 36 Willis St Apt 6a, Bristol, CT 06010-6846 | Licensed Practical Nurse | 2014-06-01 ~ 2015-05-31 |
| Tamara Pritchett | 62 Willis Rd, Dover, DE 19901-4060 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
| Claire E Willis | 39 Cliffmount Dr, Bloomfield, CT 06002-2225 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Sonia P Bailey | 111 Willis Ave, Meriden, CT 06450 | Licensed Practical Nurse | 2019-07-01 ~ 2020-06-30 |
| Sherine D Bailey | 111 Willis Ave, Meriden, CT 06450-7742 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Vanessa C Rainey | 89 Willis Ave, Meriden, CT 06450 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Cheryl M Arnold | 393 N Charles Willis Dr, Midway, FL 32343-4294 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
| Atoya Y Willis | 69 Ward Place, Hartford, CT 06106 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Nancy M Wiegand | 45 Willis Avenue, Plainville, CT 06062-2633 | Licensed Practical Nurse | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on KIM R WILLIS.
| 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).