KRISTIN A GATES (Credential# 1269723) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2018. The license status is INACTIVE.
KRISTIN A GATES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053914. The credential type is physician/surgeon. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is 8157 Sheldon Road #207, Elk Grove, CA 95758. The current status is inactive.
Licensee Name | KRISTIN A GATES |
Credential ID | 1269723 |
Credential Number | 1.053914 |
Credential Type | Physician/Surgeon |
Business Address |
8157 Sheldon Road #207 Elk Grove CA 95758 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2015-03-11 |
Effective Date | 2017-10-01 |
Expiration Date | 2018-09-30 |
Refresh Date | 2019-01-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1025294 | CSP.0051028 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-08-15 | 2017-03-01 - 2018-01-12 | INACTIVE |
Street Address | 8157 SHELDON ROAD #207 |
City | ELK GROVE |
State | CA |
Zip Code | 95758 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hohsing Lee | 8421 Stellata Ln, Elk Grove, CA 95758 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
National Parks Future Generation Fund | 9548 Dunkerrin Way, Elk Grove, CA 95758 | Public Charity-exempt From Financial Requirements | ~ |
Yen T Nguyen | 8159 Redelk Dr, Elk Grove, CA 95758 | Hairdresser/cosmetician | 2001-08-09 ~ 2002-09-30 |
Peggy M Hill | 9189 Daylor Way, Elk Grove, CA 95758 | Licensed Clinical Social Worker | 1996-04-01 ~ 1997-03-31 |
Pia A Rivera-muirhead | 9429 Echo Cliff Ct, Elk Grove, CA 95758 | Registered Nurse | 2007-11-26 ~ 2008-12-31 |
Bethany L Jackson | Po Box 580640, Elk Grove, CA 95758-0011 | Veterinarian | 2019-06-01 ~ 2020-05-31 |
Phillips Goodenough | 6123 Laguna Villa Way, Elk Grove, CA 95758-4709 | Home Improvement Salesperson | 2016-12-07 ~ 2017-11-30 |
Tabrez Ansari | 4133 Sardinia Ct, Elk Grove, CA 95758-6071 | Home Improvement Salesperson | 2016-04-28 ~ 2016-11-30 |
Melissa D Lane | 8869 Chadbury Pl, Elk Grove, CA 95758-6214 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
Michael R Jackson | 5225 Stoney Creek Way, Elk Grove, CA 95758-6748 | Home Improvement Salesperson | 2016-04-28 ~ 2016-11-30 |
Find all Licenses in zip 95758 |
City | ELK GROVE |
Zip Code | 95758 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ELK GROVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amy E Gates | 518 Penfield Rd, Fairfield, CT 06824-6750 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
William L Gates Jr | Po Box 816, Cheshire, CT 06410 | Physician/surgeon | 1993-11-10 ~ 1994-10-31 |
Jonathan D Gates | 3 Olcott Way, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Mozhgan Erfanian Sabaee | 315 Gates Ave Apt 3a, Brooklyn, NY 11216-6226 | Physician/surgeon | ~ |
Jackie P Milo | 2 The Gates Circle, Murray, KY 42071 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
Elise K Gates | 90 Bentwood Rd, West Hartford, CT 06107-3703 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Erin E Cordero | 105 Gates Farm Rd, Glastonbury, CT 06033-3220 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jay A Gates | 6655 N Macarthur Blvd, Irving, TX 75039 | Physician/surgeon | 2012-08-01 ~ 2013-07-31 |
Patricia C Kuszler | William H. Gates Hall, Seattle, WA 98195-3020 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
Vikram Chaudhary | 3333 Avalon Gates, Trumbull, CT 06611-5810 | Physician/surgeon | 2014-11-25 ~ 2015-07-31 |
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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).