KRISTEN B XELLER (Credential# 1069407) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
KRISTEN B XELLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051371. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 26 Paine Rd, Pomfret Center, CT 06259-1923. The current status is active.
| Licensee Name | KRISTEN B XELLER |
| Credential ID | 1069407 |
| Credential Number | 1.051371 |
| Credential Type | Physician/Surgeon |
| Business Address |
26 Paine Rd Pomfret Center CT 06259-1923 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-09-06 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1122422 | CSP.0053700 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-09-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 26 PAINE RD |
| City | POMFRET CENTER |
| State | CT |
| Zip Code | 06259-1923 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy L St. Laurent | 22 Paine Rd, Pomfret Center, CT 06259-1923 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth A. Poland | 123 Ragged Hill Road, Pomfret Center, CT 06259 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Saara A Slevinsky · Kahonen | 244 Paine Road, Pomfret Center, CT 06259 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Sandra Fredrickson | 135 Cooney Road, Pomfret Center, CT 06259 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Lillian R Erskine | 443 Hampton Road, Abington, CT 06259 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gary J Pazienza | 120 Cooney Road, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer L Jasmin | 524 Mashamoquet Rd, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Irina P Ionkina | 185 Babbitt Hill Road, Pomfret Center, CT 06259 | Master's Level Social Worker | 2019-01-01 ~ 2019-12-31 |
| Donna J Navarro | 88 Freedley Rd, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer W Mahr | 89 Covell Road, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Philip Raiford | 172 Peterson Rd, Pomfret Center, CT 06259 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06259 | |||
| City | POMFRET CENTER |
| Zip Code | 06259 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + POMFRET CENTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen Miranda | 5772 2nd St., San Francisco, CA 94107 | Physician/surgeon | 2019-12-03 ~ 2020-10-31 |
| Kristen Jennifer Kent | 298 5th Avenue, New York, NY 10001 | Physician/surgeon | ~ |
| Winston Rajadurai Jeshuran | 200 Kristen Ct, Macon, GA 31220-6751 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Kristen Franklin Md | 5 Hovey Pond Rd, N Grafton, MA 01536 | Physician/surgeon | 2004-06-28 ~ 2005-08-31 |
| Kristen R Aversa | 2446 Whitney Ave, New Haven, CT 06518-3233 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kristen E Lott | 2015 Capri Dr, Philadelphia, PA 19145-5765 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Kristen K Landi | 3084 Fairfield Ave, Bridgeport, CT 06605 | Physician/surgeon | 2000-09-29 ~ 2001-03-31 |
| Kristen Dasilva Darland | 400 Flintlock Rd, Southport, CT 06890-1090 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Kristen R Grubb Md | 41 Leeward Lane, Groton, CT 06340-4876 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Kristen E Currie | Berkshire Medical Ctr, Pittsfield, MA 01201 | Physician/surgeon | 2008-11-21 ~ 2010-01-31 |
Please comment or provide details below to improve the information on KRISTEN B XELLER.
| 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).