KATHY J KALKBRENNER (Credential# 1158143) 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.
KATHY J KALKBRENNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052031. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 39 Ellsworth Ln, Canton, CT 06019-2642. The current status is active.
Licensee Name | KATHY J KALKBRENNER |
Credential ID | 1158143 |
Credential Number | 1.052031 |
Credential Type | Physician/Surgeon |
Business Address |
39 Ellsworth Ln Canton CT 06019-2642 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-05-28 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1167346 | CSP.0054807 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 39 ELLSWORTH LN |
City | CANTON |
State | CT |
Zip Code | 06019-2642 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa C Barall-matt | 31 Ellsworth Ln, Canton, CT 06019-2642 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06019 |
City | CANTON |
Zip Code | 06019 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CANTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathy Pae Md | 97 Barnes Rd, Wallingford, CT 06492 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kathy A Keller | 719 Alvarado Row, Stanford, CA 94305-1037 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
Kathy Park Md | 200 Rimmon Road, Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Leo H Kalkbrenner | Rd 4 Lakewood Dr, Katonah, NY 10536 | Electrical Unlimited Journeyperson | ~ |
William Kalkbrenner Jr | 119 Mustato Rd, Katonah, NY 10536 | Electrical Unlimited Journeyperson | ~ |
Kathy O'brien Pa-c | 106 Foxboro Dr, Norwalk, CT 06851-1147 | Physician Assistant | 2019-03-01 ~ 2020-02-29 |
Kathy Ngo | 4581 35th Ave N, Saint Petersburg, FL 33713-1111 | Physician Assistant | ~ |
Kathy J Salu | 501 Winston Dr Apt A, Bakersfield, CA 93309-1540 | Physician Assistant | 2003-01-23 ~ 2004-02-29 |
Kathy E Delucia · Evers | 98 Hoyt Lane, Guilford, CT 06437 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Primitives By Kathy | 1817 William Penn Way, Lancaster, PA 17601-5830 | Importer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
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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).