KATHERINE A DESTEFANO (Credential# 1254818) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KATHERINE A DESTEFANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053818. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 6 Devine St., North Haven, CT 06473. The current status is active.
| Licensee Name | KATHERINE A DESTEFANO |
| Credential ID | 1254818 |
| Credential Number | 1.053818 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Devine St. North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-02-04 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1206314 | CSP.0056700 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-02-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1004519 | CSP.0050555 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-07-21 | 2011-07-21 - 2013-02-28 | INACTIVE |
| Street Address | 6 Devine St. |
| City | North Haven |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | North Haven |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + North Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine E Rowan | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician/surgeon | ~ |
| Katherine M. Jahnes | 21 E 10th St Apt 11d, New York, NY 10003-5922 | Physician/surgeon | ~ |
| Diane Kim | 65 Katherine Ct, Shelton, CT 06484-4336 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Katherine L Harvey | 200 Kennedy Dr, Torrington, CT 06790-3096 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Katherine Jacob | 915 W Exchange Pkwy Ste 160, Allen, TX 75013-7019 | Physician/surgeon | ~ |
| Katherine A Schneider Md | 95 Parsons St, Wallingford, CT 06492 | Physician/surgeon | 2008-02-22 ~ 2009-03-31 |
| Katherine Ill | 324 Brewster Road, Bristol, CT 06010 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Katherine Seibert | 21 Milton Ave, Liberty, NY 12754 | Physician/surgeon | 1993-03-24 ~ 1994-03-31 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Katherine A Close Md | 40 Wallacks Dr, Stamford, CT 06902-7125 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).