SUZANNE J KLEKOTKA (Credential# 544750) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
SUZANNE J KLEKOTKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023818. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 155 Montauk Ave, New London, CT 06320. The current status is active.
| Licensee Name | SUZANNE J KLEKOTKA |
| Credential ID | 544750 |
| Credential Number | 1.023818 |
| Credential Type | Physician/Surgeon |
| Business Address |
155 Montauk Ave New London CT 06320 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1982-08-04 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 145841 | CSP.0013091 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 155 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Keltner Jr | 155 Montauk Ave, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert J Keltner Jr | 155 Montauk Ave, New London, CT 06320 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW LONDON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suzanne M Carroll Md | 11 S Brainard St, Naperville, IL 60540-4901 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| Suzanne Mallouk Md | 544 Riverside Ave, Westport, CT 06880-5731 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Suzanne Marie Loiselle | 116 E 66th St Ste 1c, New York, NY 10065-6547 | Physician/surgeon | ~ |
| Suzanne P Tingley | 154 Main St, Old Saybrook, CT 06475 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Suzanne T Jorey Md | 197 Kent Ave, Suffield, CT 06078 | Physician/surgeon | 2004-01-28 ~ 2005-02-28 |
| Suzanne Lei Aquino | Po Box 1619, Coeur D Alene, ID 83816-1619 | Physician/surgeon | ~ |
| Suzanne B Cassidy | Dept of Pediatrics, Orange, CA 92868 | Physician/surgeon | 2003-12-18 ~ 2005-01-31 |
| Suzanne M Sgroi | 10 N Main St Ste 315, West Hartford, CT 06107-1901 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kelly Suzanne Matmati | 1425 Portland Ave, Rochester, NY 14621-3011 | Physician/surgeon | ~ |
| Suzanne Kohout Eschenbach | 30 Walnut Ave., Millburn, NJ 07041 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on SUZANNE J KLEKOTKA.
| 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).