BROOKE N MEDINA (Credential# 675805) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
BROOKE N MEDINA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.032004. The credential type is licensed practical nurse. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 290 Bushy Hill Rd, Simsbury, CT 06070-2606. The current status is active.
| Licensee Name | BROOKE N MEDINA |
| Credential ID | 675805 |
| Credential Number | 11.032004 |
| Credential Type | Licensed Practical Nurse |
| Business Address |
290 Bushy Hill Rd Simsbury CT 06070-2606 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-09-01 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-12-17 |
| Street Address | 290 BUSHY HILL RD |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070-2606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth E Medina | 290 Bushy Hill Rd, Simsbury, CT 06070-2606 | Licensed Practical Nurse | 2019-07-01 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David S Wall | 298 Bushy Hill Rd, Simsbury, CT 06070-2606 | Emergency Medical Technician | 2009-04-29 ~ 2014-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | SIMSBURY |
| Zip Code | 06070 |
| License Type | Licensed Practical Nurse |
| License Type + County | Licensed Practical Nurse + SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lilliam Medina · Medina | 39 Whitehall Dr, East Hartford, CT 06118-3060 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Tantaja Medina | 3 Oak St, Middletown, CT 06457-3701 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Karin S Brown | 577 Medina Dr, Lewisville, TX 75067 | Licensed Practical Nurse | 1992-06-25 ~ 1993-06-30 |
| Diana M Mendez · Medina | 38 Third St, New Britain, CT 06051 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Samantha Antonia Medina | 61 Richmond Ave Apt 4, Waterbury, CT 06705 | Licensed Practical Nurse | ~ |
| Juan Medina | 18 Pierce St, Enfield, CT 06082-5668 | Licensed Practical Nurse | 2019-08-01 ~ 2020-07-31 |
| Jenilza Medina | 55 James St, Bridgeport, CT 06604-3522 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Josselin L Medina Ramon | 6 Crane St Apt 2, Danbury, CT 06810-6002 | Licensed Practical Nurse | ~ |
| Carol M Medina | 10207 Alphonse St, Santee, CA 92071-1281 | Licensed Practical Nurse | 2011-06-01 ~ 2012-05-31 |
| Kasandra Medina | 121 Henderson Dr, East Hartford, CT 06108-1863 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on BROOKE N MEDINA.
| 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).