KILIS RAFAELA PORTES
Registered Nurse


Address: 124 Pilot Street, Bronx, NY 10464-1102

KILIS RAFAELA PORTES (Credential# 982662) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

KILIS RAFAELA PORTES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.099194. The credential type is registered nurse. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 124 Pilot Street, Bronx, NY 10464-1102. The current status is active.

Basic Information

Licensee Name KILIS RAFAELA PORTES
Credential ID 982662
Credential Number 10.099194
Credential Type Registered Nurse
Business Address 124 Pilot Street
Bronx
NY 10464-1102
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-04-14
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
982663 10.097899-TEMP Registered Nurse - Temporary 2011-01-25 2011-01-25 - 2011-05-25 INACTIVE

Office Location

Street Address 124 pilot street
City BRONX
State NY
Zip Code 10464-1102

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Judith D Kupferschmid 68 Island Point, Bronx, NY 10464 Registered Nurse 2019-12-01 ~ 2020-11-30
Miles Mahony 17 Windward Ln, Bronx, NY 10464 Real Estate Broker 2018-04-01 ~ 2019-03-31
James Mcgaughan 306 William Avenue, Bronx, NY 10464 Physician Assistant 2017-10-01 ~ 2018-09-30
Ronald A Kross 1 Rochelle St, Bronx, NY 10464 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Competitor

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City BRONX
Zip Code 10464
License Type Registered Nurse
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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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