KIMBERLY A GAGE APRN (Credential# 680777) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2015. The license expiration date date is December 31, 2015. The license status is INACTIVE.
KIMBERLY A GAGE APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002599. The credential type is advanced practice registered nurse. The effective date is January 1, 2015. The expiration date is December 31, 2015. The business address is 33 Terry Road, West Springfield, MA 01089. The current status is inactive.
| Licensee Name | KIMBERLY A GAGE APRN |
| Credential ID | 680777 |
| Credential Number | 12.002599 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
33 Terry Road West Springfield MA 01089 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-10-23 |
| Effective Date | 2015-01-01 |
| Expiration Date | 2015-12-31 |
| Refresh Date | 2016-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 569410 | 10.065402 | Registered Nurse | 2001-03-22 | 2015-01-01 - 2015-12-31 | INACTIVE |
| 445093 | CSP.0039568 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-07-27 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 33 Terry Road |
| City | WEST SPRINGFIELD |
| State | MA |
| Zip Code | 01089 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Darlene A Kurman | 158 Edgewood Rd, W Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jessica Marquez | 758 Westfield St, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Jody L Russell | 121 Greenleaf Ave, West Springfield, MA 01089 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine Zemanek | 81 Braintree Road, West Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| John Calabrese | 64 High Meadow Dr, West Springfield, MA 01089 | Dentist | ~ |
| Mary Christine Matias | 24 Appaloosa Lane, West Springfield, MA 01089 | Licensed Practical Nurse | ~ |
| Elizabeth A Favreau | 21 Hummingbird Lane, West Springfield, MA 01089 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| James M Hanifan | 90 Bayberry Ln, W Springfield, MA 01089 | Architect | 2020-08-01 ~ 2021-07-31 |
| Katie Marie Sniegowski | 22 Garden St, West Springfield, MA 01089 | Registered Nurse - Temporary | 2020-02-05 ~ 2020-06-04 |
| Surgi-care Inc | 150 Doty Cir, West Springfield, MA 01089 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01089 | |||
| City | WEST SPRINGFIELD |
| Zip Code | 01089 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + WEST SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly S Schena Aprn | 311 Lincoln St #2, Worcester, MA 01605 | Advanced Practice Registered Nurse | 2003-12-22 ~ 2004-12-31 |
| Kimberly L Vetal Aprn | 181 Pine Acre Road, Springfield, MA 01129 | Advanced Practice Registered Nurse | 2001-05-24 ~ 2002-05-31 |
| Ann B Chase Aprn | Po Box 751, Red Hook, NY 12571 | Advanced Practice Registered Nurse | 2000-12-07 ~ 2001-12-31 |
| Jay M Seigel Aprn | 24 Channing St, New London, CT 06320 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kyuwon Yu Aprn | 24 Hospital Ave, Danbury, CT 06810-6077 | Advanced Practice Registered Nurse | 2007-05-07 ~ 2008-06-30 |
| Vanessa M Mix Aprn | 10 Salem Rd, Weston, CT 06883 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Carol Difazio Aprn | Po Box 812, Glastonbury, CT 06033 | Advanced Practice Registered Nurse | 2005-06-16 ~ 2006-08-31 |
| Beverly J Genader Aprn | Po Box 506, Palatka, FL 32178 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Jill V Tesei Aprn | 399 E Putnam Ave Ste 1, Cos Cob, CT 06807-2558 | Advanced Practice Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Barbara E Lakatos Aprn | 184 Elm St, Marshfield, MA 02050-4444 | Advanced Practice Registered Nurse | 2019-11-01 ~ 2020-10-31 |
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| 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).