MATTHEW KLEIN (Credential# 1490787) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 30, 2016. The license expiration date date is June 30, 2020. The license status is INACTIVE.
MATTHEW KLEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058889-RES. The credential type is resident physician. The effective date is June 30, 2016. The expiration date is June 30, 2020. The business address is 675 Townsend Ave Unit 140, New Haven, CT 06512-3178. The current status is inactive.
| Licensee Name | MATTHEW KLEIN |
| Credential ID | 1490787 |
| Credential Number | 1.058889-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
675 Townsend Ave Unit 140 New Haven CT 06512-3178 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2016-06-30 |
| Effective Date | 2016-06-30 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1355763 | CSP.0062817 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-05-24 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1350985 | 1.055286 | Physician/Surgeon | 2016-05-20 | 2017-06-01 - 2018-05-31 | INACTIVE |
| 1351026 | CSP.0062552 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-05-21 | 2016-05-21 - 2016-05-26 | INACTIVE |
| 1337864 | CSP.0062218 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 675 TOWNSEND AVE UNIT 140 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06512-3178 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justine L Klein | 675 Townsend Ave Unit 140, New Haven, CT 06512-3178 | Speech and Language Pathologist | 2017-11-01 ~ 2018-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Freda J Hatcher | 675 Townsend Ave Unit 142, New Haven, CT 06512-3178 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | NEW HAVEN |
| Zip Code | 06512 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew L Klein · Klein Painting | 34 York St, Ansonia, CT 06401-2130 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Matthew J Klein | 246 Redding Road, Redding, CT 06896 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
| Matthew Factor | 929 Dublin St, New Orleans, LA 70118-1125 | Resident Physician | 2016-08-01 ~ 2021-06-30 |
| Matthew P O'brien | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Matthew R. Austin | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
| Matthew T Groenwald | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
| Matthew Ringer | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Matthew Sabatino | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-08-07 ~ 2021-06-30 |
| Matthew Kenneth Harris | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Eric Matthew Gershon | 20 York St, New Haven, CT 06510-3220 | 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).