JASON R KIRKPATRICK MD (Credential# 541266) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.
JASON R KIRKPATRICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014873. The credential type is physician/surgeon. The effective date is April 1, 2012. The expiration date is March 31, 2013. The business address is 766 Route 148, Killingworth, CT 06419-1020. The current status is inactive.
Licensee Name | JASON R KIRKPATRICK MD |
Credential ID | 541266 |
Credential Number | 1.014873 |
Credential Type | Physician/Surgeon |
Business Address |
766 Route 148 Killingworth CT 06419-1020 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1971-03-09 |
Effective Date | 2012-04-01 |
Expiration Date | 2013-03-31 |
Refresh Date | 2013-04-09 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
289347 | CSP.0031481 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-20 - 2013-02-28 | INACTIVE |
Street Address | 766 ROUTE 148 |
City | KILLINGWORTH |
State | CT |
Zip Code | 06419-1020 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06419 |
City | KILLINGWORTH |
Zip Code | 06419 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + KILLINGWORTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gregory S Kirkpatrick · Gs Kirkpatrick Painting | 8 Church St 2nd Fl, Mystic, CT 06355 | Home Improvement Contractor | 1995-12-01 ~ 1996-11-30 |
Gary H Kirkpatrick · Kirkpatrick Const | 378 Saybrook Rd, Higganum, CT 06441 | Home Improvement Contractor | ~ 1995-12-01 |
Kirkpatrick Construction LLC | 73 Strickland Road, Cos Cob, CT 06807 | Home Improvement Contractor | 2011-12-01 ~ 2012-11-30 |
Jeffrey A Kirkpatrick · Kirkpatrick Painting and Finishing | 337 High St, Mystic, CT 06355-1707 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Jason A Remick | 6 Ward Ave, Audubon, NJ 08106-1918 | Physician/surgeon | ~ |
Jason Shapiro | 35 Leicester Way, Pawtucket, RI 02860-5609 | Physician/surgeon | ~ |
Jason Deutsch | 285 Lafayette St, New York, NY 10012 | Physician/surgeon | ~ |
Jason D Beck | 207 Sunset Dr, Lucedale, MS 39452-3620 | Physician/surgeon | ~ |
Jason C. Chen | 35 River Rd, Cos Cob, CT 06807-2759 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
Jason Sperling | 1 Columbia St Ste 300, Poughkeepsie, NY 12601-3924 | Physician/surgeon | ~ |
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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).