KATHRYN Jeanne HENAULT (Credential# 1487856) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2018. The license status is INACTIVE.
KATHRYN Jeanne HENAULT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057519-RES. The credential type is resident physician. The effective date is July 1, 2014. The expiration date is June 30, 2018. The business address is 234 Spielman Highway, Burlington, CT 06013. The current status is inactive.
| Licensee Name | KATHRYN Jeanne HENAULT |
| Credential ID | 1487856 |
| Credential Number | 1.057519-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
234 Spielman Highway Burlington CT 06013 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2014-07-01 |
| Effective Date | 2014-07-01 |
| Expiration Date | 2018-06-30 |
| Refresh Date | 2018-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1322064 | 1.055417 | Physician/Surgeon | 2016-07-01 | 2016-07-01 - 2016-12-31 | INACTIVE |
| 1174974 | CSP.0055454 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-23 | 2013-07-23 - 2015-02-28 | INACTIVE |
| Street Address | 234 Spielman Highway |
| City | Burlington |
| State | CT |
| Zip Code | 06013 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beth Wiblyi | 234 Spielman Highway, Burlington, CT 06013 | Medication Administration Certification | 2019-11-05 ~ 2021-11-04 |
| Gregory S Heaphy | 234 Spielman Highway, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Obrizzo | 81 W Side Blvd, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gwendolyn A Nowacki | 16 Village Ln, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erinne P Houton | 298 Jerome Ave, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Subway of Burlington | 292 Spielman Hwy, Burlington, CT 06013 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Aneta Gurtowsky | 2 West Ledge Road, Burlington, CT 06013 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Maria L Main | 79 Pine Hill Road, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven T Miles | 26 Angelas Way, Burlington, CT 06013 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Sally A Larsen | 515 Jerome Avenue, Burlington, CT 06013 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Barbara C Grindal | 118 Punch Brook Rd, Burlington, CT 06013 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Insu Kim | 48 Monce Rd, Burlington, CT 06013 | Nail Technician | 2020-06-18 ~ 2022-04-30 |
| Find all Licenses in zip 06013 | |||
| City | Burlington |
| Zip Code | 06013 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Burlington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George A Henault · G A Henault Contractor | 161 Old Norwich Rd, Quaker Hill, CT 06375 | Home Improvement Contractor | 1995-10-01 ~ 1996-11-30 |
| Kathryn Sommers | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Kathryn May Davis | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kathryn R Giuseppone | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
| Kathryn Kreicher | 36 Harbor View Ave, Norwalk, CT 06854-4822 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
| Kathryn Wagner | 395 Brittany Farms Rd Apt 415, New Britain, CT 06053-1155 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
| Kathryn A Becker | Uconn School of Medicine, Farmington, CT 06030-0001 | Resident Physician | 2018-07-01 ~ 2022-06-30 |
| Kathryn Anne Zuchowski | 1245 Chapel St Apt 524, New Haven, CT 06511-4659 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Elissa Kathryn Zirinsky | 360 State St Apt 2421, New Haven, CT 06510-3624 | Resident Physician | 2019-07-11 ~ 2021-06-30 |
| Kathryn Elliott Nagel | 20 York Street Tompkins 2, Room 226, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).