KIMBERLY S BALAY (Credential# 1301804) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
KIMBERLY S BALAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061101. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 4140 Penrose Place, Rapid City, SD 57702. The current status is lapsed.
| Licensee Name | KIMBERLY S BALAY |
| Credential ID | 1301804 |
| Credential Number | CSP.0061101 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4140 Penrose Place Rapid City SD 57702 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2015-07-27 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1299268 | 1.054402 | Physician/Surgeon | 2015-07-21 | 2017-02-01 - 2018-01-31 | INACTIVE |
| Street Address | 4140 Penrose Place |
| City | Rapid City |
| State | SD |
| Zip Code | 57702 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Uchechi Val-okolie | 3430 Corral Dr, Rapid City, SD 57702 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| David Eli Niemiec | 202 N 44th St, Rapid City, SD 57702 | Registered Nurse | 2020-01-22 ~ 2020-08-31 |
| Michael E Latour | 13641, Rapid City, SD 57702 | Physical Therapist | 2009-06-26 ~ 2010-08-31 |
| Wayne K Lund | 1621 Sheridan Lk Rd, Rapid City, SD 57702 | Architect | 1997-08-01 ~ 1998-07-31 |
| Renaye M Dickerson | 4004 Hall St, Rapid City, SD 57702-2205 | Registered Nurse - Temporary | 2009-08-05 ~ 2009-12-03 |
| Jose Carlos Araujo | 4105 Lakeview Drive Apt 307, Rapid City, SD 57702-3286 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Strider Education Foundation Inc | 2221 N Plaza Dr, Rapid City, SD 57702-3602 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Jeri L Culbertson | 22790 Norris Peak Rd, Rapid City, SD 57702-6193 | Registered Nurse | 2017-05-01 ~ 2018-04-30 |
| Ellen D Olney | 4020 Canyon Dr, Rapid City, SD 57702-6862 | Licensed Practical Nurse | 2013-07-01 ~ 2014-06-30 |
| Linda Rae Wolden | 5017 Summerset Dr, Rapid City, SD 57702-9257 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Find all Licenses in zip 57702 | |||
| City | Rapid City |
| Zip Code | 57702 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Rapid City |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly A Keegan | 4 Den Rd, New Hartford, CT 06057-3502 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly M Chemacki | 196 Parkway S Ste 103, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly A George Pa | 88 Ridgefield Dr, Middletown, CT 06457-6540 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kimberly J Lane | 20 Arrowhead Ln, Dayville, CT 06241-1516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph L Dinardo Dmd | 47 Kimberly Dr, Manchester, CT 06040-6842 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Kimberly Gygi | 17 Horseshoe Cir, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly L Kowalczyk | 25 Frederick St Apt 301, Hartford, CT 06105-3236 | Controlled Substance Registration for Practitioner | 2015-02-21 ~ 2017-02-28 |
| Kimberly A Kurey | 75 Cutler St, Stonington, CT 06378-1004 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberly D Gupta | 59 Liberty St, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kimberly A Merrill | 41 1st Tavern Rd, Jaffrey, NH 03452-5103 | Controlled Substance Registration for Practitioner | ~ |
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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).