HEATHER L KLAVAN (Credential# 1490786) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2015. The license expiration date date is June 30, 2021. The license status is ACTIVE.
HEATHER L KLAVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058888-RES. The credential type is resident physician. The effective date is July 1, 2015. The expiration date is June 30, 2021. The business address is 394 Kirkby Ln, West Haven, CT 06516-7909. The current status is active.
| Licensee Name | HEATHER L KLAVAN |
| Credential ID | 1490786 |
| Credential Number | 1.058888-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
394 Kirkby Ln West Haven CT 06516-7909 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-01 |
| Effective Date | 2015-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1171695 | CSP.0055228 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-03 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 394 KIRKBY LN |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-7909 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa J Ramadon | 382 Kirkby Ln, West Haven, CT 06516-7909 | Registered Nurse | 2011-12-01 ~ 2012-11-30 |
| Samuel Teitelman | 381 Kirkby Lane, West Haven, CT 06516-7909 | Certified Public Accountant License | 2008-01-01 ~ 2008-12-31 |
| Samuel Teitelman | 381 Kirkby Lane, West Haven, CT 06516-7909 | Certified Public Accountant Firm Permit | 2008-01-01 ~ 2008-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather A Toskos | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Heather Michelle Ruff | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Heather M Weber | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Heather M Hechter | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Jeffrey Kwan | 118 Heather Dr, Atherton, CA 94027-2120 | Physician/surgeon | ~ |
| Heather Bryant | 851 Ne 1st Ave, Miami, FL 33132 | Physician Assistant | 2018-10-30 ~ 2019-04-30 |
| Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
Please comment or provide details below to improve the information on HEATHER L KLAVAN.
| 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).