BARBARA E KIMBLE-GOODMAN APRN
Controlled Substance Registration for Practitioner


Address: 1153 East Street South, Suffield, CT 06080

BARBARA E KIMBLE-GOODMAN APRN (Credential# 977489) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

BARBARA E KIMBLE-GOODMAN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049429. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1153 East Street South, Suffield, CT 06080. The current status is active.

Basic Information

Licensee Name BARBARA E KIMBLE-GOODMAN APRN
Credential ID 977489
Credential Number CSP.0049429
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1153 East Street South
Suffield
CT 06080
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2010-12-06
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
618949 10.E49681 Registered Nurse 1986-09-17 2019-10-01 - 2020-09-30 ACTIVE
682152 12.003974 Advanced Practice Registered Nurse 2008-11-25 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 1153 East Street South
City Suffield
State CT
Zip Code 06080

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Channer's Rastafarian Religious Society 1153 East Street South, Suffield, CT 06080 Public Charity-exempt From Financial Requirements ~

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Valerie Szalkiewicz 43 Main Street, Tarrifville, CT 06080 Medication Administration Certification 2020-04-28 ~ 2022-04-27
Michelle A Biela · Dupont Macdougall Corr Inst, Suffield, CT 06080 Registered Nurse 2020-03-01 ~ 2021-02-28
Tricia Lynn Ofsuryk 1153 East St, Suffield, CT 06080 Registered Nurse 2020-03-01 ~ 2021-02-28
Holly G Miller 72 Rogers Lane, Enfield, CT 06080 Notary Public Appointment 2007-11-28 ~ 2012-11-30
Shane W Mortimer Dept. of Correction, Suffield, CT 06080 Notary Public Appointment 2008-09-17 ~ 2013-09-30
Robyn E Spence Walker Correctional Inst, Suffield, CT 06080 Notary Public Appointment 2006-07-01 ~ 2011-06-30
Property Line Vinyl LLC 18 Barret Rd, Enfield, CT 06080 Home Improvement Contractor 2006-08-22 ~ 2006-11-30
Eamonn K Murphy 42 Selma Ct, Weatogue, CT 06080 Real Estate Salesperson ~
William H Mehl 12 Gehring Road Extension, Tolland, CT 06080 Home Improvement Contractor 1997-12-01 ~ 1998-11-30
Arthur Ave 539 Riverside Avenue, Westport, CT 06080 Operator of Weighing & Measuring Devices 2001-05-11 ~ 2001-07-31
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Competitor

Search similar business entities

City Suffield
Zip Code 06080
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Suffield

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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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