KIRA MARIE BLEECHER (Credential# 1363545) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
KIRA MARIE BLEECHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055739. The credential type is physician/surgeon. The effective date is July 1, 2018. The expiration date is June 30, 2019. The business address is 28 Pine Ct, Cromwell, CT 06416-1764. The current status is inactive.
| Licensee Name | KIRA MARIE BLEECHER |
| Credential ID | 1363545 |
| Credential Number | 1.055739 |
| Credential Type | Physician/Surgeon |
| Business Address |
28 Pine Ct Cromwell CT 06416-1764 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-09-22 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1175037 | CSP.0055486 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-23 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1383820 | CSP.0064186 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-10-13 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1487800 | 1.057463-RES | Resident Physician | 2017-08-01 | 2017-08-01 - 2018-07-31 | INACTIVE |
| Street Address | 28 PINE CT |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-1764 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelline N Muvundamina | 28 Pine Ct, Cromwell, CT 06416-1764 | Registered Nurse | 2011-11-15 ~ 2012-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CROMWELL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann Marie Connor | 848 Nebraska Ave W, St Paul, MN 55117 | Physician/surgeon | 1996-10-02 ~ 1997-11-30 |
| Marie-anne Denayer Md | 31 Lee Dr, Southington, CT 06489-2926 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Marie Bellantoni | 140 Clark St, Milford, CT 06460 | Physician/surgeon | 1994-04-28 ~ 1995-03-31 |
| Shauna Marie Smith | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Marie L Mannino | 91 Mountain Ave, Hawthorne, NJ 07506 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
| Marie K Carter Md | 75 Oswegatchie Rd, Waterford, CT 06385 | Physician/surgeon | 2002-05-28 ~ 2003-05-31 |
| Suzanne Marie Loiselle | 116 E 66th St Ste 1c, New York, NY 10065-6547 | Physician/surgeon | ~ |
| Marie-laure Romney | 615 W 131st St Fl 3, New York, NY 10027-7922 | Physician/surgeon | ~ |
| Odette Marie Cohen-martin | 480 Weir St, Glastonbury, CT 06033-3523 | Physician/surgeon | ~ |
| Vanessa Marie Myles | 510 Saw Mill Rd, Guilford, CT 06437 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Please comment or provide details below to improve the information on KIRA MARIE BLEECHER.
| 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).