KIMBERLY ANN BOUTWELL
Registered Nurse - Temporary


Address: 154 Maple Ave, Schenectady, NY 12302-4614

KIMBERLY ANN BOUTWELL (Credential# 944847) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is July 20, 2010. The license expiration date date is November 17, 2010. The license status is INACTIVE.

Business Overview

KIMBERLY ANN BOUTWELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.095119-TEMP. The credential type is registered nurse - temporary. The effective date is July 20, 2010. The expiration date is November 17, 2010. The business address is 154 Maple Ave, Schenectady, NY 12302-4614. The current status is inactive.

Basic Information

Licensee Name KIMBERLY ANN BOUTWELL
Credential ID 944847
Credential Number 10.095119-TEMP
Credential Type Registered Nurse - Temporary
Credential SubCategory TEMP
Business Address 154 Maple Ave
Schenectady
NY 12302-4614
Business Type INDIVIDUAL
Status INACTIVE - INACTIVE
Issue Date 2010-07-20
Effective Date 2010-07-20
Expiration Date 2010-11-17
Refresh Date 2010-11-24

Other licenses

ID Credential Code Credential Type Issue Term Status
944846 10 Registered Nurse - EXPIRED APPLICATION

Office Location

Street Address 154 MAPLE AVE
City SCHENECTADY
State NY
Zip Code 12302-4614

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City SCHENECTADY
Zip Code 12302
License Type Registered Nurse - Temporary
License Type + County Registered Nurse - Temporary + SCHENECTADY

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Dataset Information

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).

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