KIMBERLY J HENDERSON (Credential# 1313585) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
KIMBERLY J HENDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054929. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 24 State Rte. 727, Ansonia, CT 06401. The current status is active.
| Licensee Name | KIMBERLY J HENDERSON |
| Credential ID | 1313585 |
| Credential Number | 1.054929 |
| Credential Type | Physician/Surgeon |
| Business Address |
24 State Rte. 727 Ansonia CT 06401 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-02-22 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-01-07 |
| Street Address | 24 State Rte. 727 |
| City | Ansonia |
| State | CT |
| Zip Code | 06401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Lynn Kunstadt | 7 Belleview Terrave, Ansonia, CT 06401 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mann Inc | 505 Main St, Ansonia, CT 06401 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Domino's Pizza · Nbs Pizza Inc Dba | 137 N Main St, Ansonia, CT 06401 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Lisa Dilorenzo Sardo | 37 Kathy Lane, Ansonia, CT 06401 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Christi Lynn Crumb | 73 Woodbridge Ave, Ansonia, CT 06401 | Notary Public Appointment | 2020-04-09 ~ 2025-04-30 |
| Maureen E Witzmann | 68 Granite Terrace, Ansonia, CT 06401 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Anthony Wayne Md | 20 Westfield Avenue, Ansonia, CT 06401 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Raymond P Ragaini | 30 Winter Street, Ansonia, CT 06401 | Notary Public Appointment | 2017-07-01 ~ 2022-06-30 |
| Margaret Rivera | 34 Church Street, Ansonia, CT 06401 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Nadine Frey · Tonucci | 7 North Coe Lane, Ansonia, CT 06401 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 06401 | |||
| City | Ansonia |
| Zip Code | 06401 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Ansonia |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Galen M Eversole | R & R Md, Henderson, NV 89074 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
| Cynthia B Malixi | 267 Buckskin St, Henderson, NV 89014 | Physician/surgeon | 1995-11-16 ~ 1996-10-31 |
| Micheal P Henderson Md | 281 Willow St, New Haven, CT 06511 | Physician/surgeon | 2004-04-30 ~ 2005-04-30 |
| John R. Wohlwend | 12 Sankaty Cir, Henderson, NV 89052-6670 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Jason S Henderson D O | 4 Farm Dr, Farmington, CT 06032 | Physician/surgeon | 2002-10-03 ~ 2003-08-31 |
| Richard L Penfil | 2207 Versailles Ct., Henderson, NV 89074 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Gary D More | 65 Teton Pines Drive, Henderson, NV 89014 | Physician/surgeon | 1997-10-20 ~ 1998-10-31 |
| Lee W Henderson | 5830 246th Place Ne, Redmond, WA 98053 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Ching-yi Yu | 2313 Rosendale Village Ave, Henderson, NV 89052-8731 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Sony Sam | 8735 Henderson Road, Tampa, FL 33634 | Physician/surgeon | 2019-08-01 ~ 2020-08-31 |
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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).