JENNIFER L KLINGENBERGER
Physician/surgeon


Address: 7684 Tonawanda Creek Rd, Lockport, NY 14094-9042

JENNIFER L KLINGENBERGER (Credential# 1086494) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 16, 2012. The license expiration date date is June 30, 2013. The license status is INACTIVE.

Business Overview

JENNIFER L KLINGENBERGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051315. The credential type is physician/surgeon. The effective date is August 16, 2012. The expiration date is June 30, 2013. The business address is 7684 Tonawanda Creek Rd, Lockport, NY 14094-9042. The current status is inactive.

Basic Information

Licensee Name JENNIFER L KLINGENBERGER
Credential ID 1086494
Credential Number 1.051315
Credential Type Physician/Surgeon
Business Address 7684 Tonawanda Creek Rd
Lockport
NY 14094-9042
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-08-16
Effective Date 2012-08-16
Expiration Date 2013-06-30
Refresh Date 2013-10-08

Office Location

Street Address 7684 TONAWANDA CREEK RD
City LOCKPORT
State NY
Zip Code 14094-9042

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James Costanzo 6942 Lockwood Lane, Lockport, NY 14094 Home Improvement Salesperson 2007-03-02 ~ 2007-11-30
Mitchel Swan 5809 Constock Rd., Lockport, NY 14094 Hoisting Equipment Operator 2004-04-02 ~ 2006-04-01
Bbx Inc · Boston Buffalo 7310 Chestnut Ridge Road, Lockport, NY 14094 Transporter Liquor 2015-03-06 ~ 2016-03-05
Edward M Schiller 5860 Dunnigan Rd, Lockport, NY 14094 Professional Engineer 1995-01-18 ~ 1996-01-31
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City LOCKPORT
Zip Code 14094
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LOCKPORT

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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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