KENNETH J KOELLE (Credential# 678391) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KENNETH J KOELLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.000199. The credential type is advanced practice registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 99 Ocean View Ave, Mystic, CT 06355. The current status is active.
| Licensee Name | KENNETH J KOELLE |
| Credential ID | 678391 |
| Credential Number | 12.000199 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
99 Ocean View Ave Mystic CT 06355 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-03-12 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 610927 | 10.E40302 | Registered Nurse | 1978-04-07 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 328161 | CSP.0033023 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-12-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 99 OCEAN VIEW AVE |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy J Quattromani | 99 Ocean View Ave, Mystic, CT 06355 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
| Paul M Koelle | 99 Ocean View Ave, Mystic, CT 06355-2240 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + MYSTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hastings F Lane | 24 Kenneth Ter, Bristol, CT 06010-8541 | Advanced Practice Registered Nurse | 2017-07-07 ~ 2018-06-30 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ricky G Ewell II | 177 9th Ave Apt 5d, New York, NY 10011-4974 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Sue A Smolski | 39 Farmington Ave, Plainville, CT 06062 | Advanced Practice Registered Nurse | 2016-07-01 ~ 2017-06-30 |
| Effiem Obasi | 143 Longwood Ave, Providence, RI 02908-1121 | Advanced Practice Registered Nurse | ~ |
| Judith E Staib | Po Box 9, Farmington, CT 06034-0009 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Robert S Simkins | 466 N Salina St Apt 7, Syracuse, NY 13203-1837 | Advanced Practice Registered Nurse | ~ |
| Tim G Bombard | 694 Palisado Ave, Windsor, CT 06095 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Nwanneka Ndubuaku | 302 2nd St Apt 9l, Brooklyn, NY 11215-8508 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Jane E Neu | 671 Chaffeeville Rd, Storrs, CT 06268-2337 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KENNETH J KOELLE.
| 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).