CORDELL L KLEIN MD (Credential# 543508) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
CORDELL L KLEIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020855. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 1902 Moores Lane, Texarkana, TX 75503. The current status is active.
Licensee Name | CORDELL L KLEIN MD |
Credential ID | 543508 |
Credential Number | 1.020855 |
Credential Type | Physician/Surgeon |
Business Address |
1902 Moores Lane Texarkana TX 75503 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1979-03-13 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-10-20 |
Street Address | 1902 Moores Lane |
City | TEXARKANA |
State | TX |
Zip Code | 75503 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan R Blankenship | 7002 Shadow Brooke, Texarkana, TX 75503 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Susan R Butler | 301 Easy St, Texarkana, TX 75503 | Registered Nurse | 2012-05-01 ~ 2013-04-30 |
Senior Respiratory Solutions | 3448 Summerhill Rd, Texarkana, TX 75503 | Nonresident Pharmacy | 2010-09-01 ~ 2011-08-31 |
Betty A Jester | 109 Jack St, Texarkana, TX 75503 | Registered Nurse | 1995-03-29 ~ 1996-03-31 |
Carolyn S Luoma | 3810 Bamboo, Texarkana, TX 75503 | Registered Nurse | 1999-10-01 ~ 2000-10-31 |
Gregory L Conley | 3502 Moores Ln, Texarkana, TX 75503 | Registered Nurse | 2003-01-06 ~ 2004-02-29 |
Joanne M Mcbroome | 6602 Chaparral, Texarkana, TX 75503 | Registered Nurse | 1994-07-20 ~ 1995-09-30 |
Lori L Cobb | 2509 Richmond Road, Texarkana, TX 75503 | Registered Nurse | 2006-02-21 ~ 2007-03-31 |
Terri Bingham | 6014 Beacon Hill Drive, Texarkana, TX 75503 | Registered Nurse | 2003-11-04 ~ 2004-12-31 |
Brenda S Oliver | 3620 Elizabeth Street #12, Texarkana, TX 75503 | Registered Nurse | 2001-11-23 ~ 2002-11-30 |
Find all Licenses in zip 75503 |
City | TEXARKANA |
Zip Code | 75503 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + TEXARKANA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Herman O Klein | 4 Schwartz St, Israel, 43213 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
Carine R Klein | P.o.box 10100, Jackson, WY 83002 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
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 |
Madeline Klein | 148 Herbert Rd, Arlington, MA 02174 | Physician/surgeon | 2000-01-10 ~ 2001-03-31 |
Andrei Klein | 180 Haines Rd, Bedford Hills, NY 10507-1213 | Physician/surgeon | ~ |
Wesley Neal Klein | 20 Bow Lane, Barnstable, MA 02630 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Wendy A Klein | 160 Hawley Lane, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Barbara E Klein | 22 Colonial Place, New Haven, CT 06515 | Physician/surgeon | 2000-09-13 ~ 2001-09-30 |
Harold T Klein Md | 318 West Hill Rd, Stamford, CT 06902 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
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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).