MADELINE KLEIN (Credential# 540968) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 10, 2000. The license expiration date date is March 31, 2001. The license status is INACTIVE.
MADELINE KLEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014072. The credential type is physician/surgeon. The effective date is January 10, 2000. The expiration date is March 31, 2001. The business address is 148 Herbert Rd, Arlington, MA 02174. The current status is inactive.
Licensee Name | MADELINE KLEIN |
Credential ID | 540968 |
Credential Number | 1.014072 |
Credential Type | Physician/Surgeon |
Business Address |
148 Herbert Rd Arlington MA 02174 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1969-08-07 |
Effective Date | 2000-01-10 |
Expiration Date | 2001-03-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
145830 | CSP.0006894 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-11-03 - 1995-12-01 | INACTIVE |
Street Address | 148 HERBERT RD |
City | ARLINGTON |
State | MA |
Zip Code | 02174 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rocco A Blasi · Bayside Engg Assoc Inc | 89 Oakland Ave, Arlington, MA 02174 | Professional Engineer | 1986-01-21 ~ 1987-01-31 |
Robert Flores | 95 Paul Revere Road, Arlington, MA 02174 | Tv & Radio Electronic Technician | ~ |
William H Rowe IIi | 11 Water Street 3rd Floor, Arlington, MA 02174 | Architect | 2004-09-10 ~ 2005-07-31 |
Judith K Day · Kirmes | 15 Ernest Road, Arlington, MA 02174 | Registered Nurse | ~ 1996-06-30 |
Barbara J Frost | 48b Montague St, Arlington, MA 02174 | Registered Nurse | 1995-08-25 ~ 1996-08-31 |
Elizabeth S Holcombe · Cammann | 147 George Street, Arlington, MA 02174 | Licensed Clinical Social Worker | 1996-09-30 ~ 1997-11-30 |
Karen F Zoeller | 16 Mystic Lake Dr, Arlington, MA 02174 | Registered Nurse | 1994-03-30 ~ 1995-04-30 |
Ann M Fogarty | 30 Addison Street, Arlington, MA 02174 | Barber | 1995-11-17 ~ 1996-11-30 |
Kimberly A Velie | 252 Mass Ave Apt 5, Arlington, MA 02174 | Physical Therapist | 1994-04-18 ~ 1995-01-31 |
Mark R Potter | 846 Massachusetts Av, Arlington, MA 02174 | Chiropractor | 1996-06-12 ~ 1997-06-30 |
Find all Licenses in zip 02174 |
City | ARLINGTON |
Zip Code | 02174 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ARLINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carine R Klein | P.o.box 10100, Jackson, WY 83002 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Andrei Klein | 180 Haines Rd, Bedford Hills, NY 10507-1213 | Physician/surgeon | ~ |
Herman O Klein | 4 Schwartz St, Israel, 43213 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
Betty Klein Md | 57 North St, Danbury, CT 06810 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Adam M Klein Md | 94 Rvane St, Fairfield, CT 06430 | Physician/surgeon | 2002-08-16 ~ 2003-08-31 |
Harold T Klein Md | 318 West Hill Rd, Stamford, CT 06902 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
Debra Adler-klein Md | 150 Jonathan Dr, Stamford, CT 06903-1508 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jerome J Klein Md | 40 Cross Street, Norwalk, CT 06851 | Physician/surgeon | 2008-01-31 ~ 2009-03-31 |
Carolina A Klein | 193 Clinton Avenue, Brooklyn, NY 11205 | Physician/surgeon | 2008-12-15 ~ 2009-12-31 |
Wendy A Klein | 160 Hawley Lane, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).