ADRIAAN R.J. HERKLOTS II (Credential# 544965) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.
ADRIAAN R.J. HERKLOTS II is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024321. The credential type is physician/surgeon. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 358 Main Street, Danielson, CT 06239. The current status is inactive.
Licensee Name | ADRIAAN R.J. HERKLOTS II |
Credential ID | 544965 |
Credential Number | 1.024321 |
Credential Type | Physician/Surgeon |
Business Address |
358 Main Street Danielson CT 06239 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1983-04-04 |
Effective Date | 2016-11-01 |
Expiration Date | 2017-10-31 |
Refresh Date | 2018-02-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
144873 | CSP.0011658 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 358 MAIN STREET |
City | DANIELSON |
State | CT |
Zip Code | 06239 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah L Herklots | 358 Main Street, Danielson, CT 06239 | Massage Therapist | 2004-06-24 ~ 2006-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sandra Elizabeth Gibson | 72 Westfield Ave, Danielson, CT 06239 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Meg A Collelo | 146 Wauregan Road, Danielson, CT 06239 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-04-30 |
Matthew U Paquin | 20 Buck Street, Danielson, CT 06239 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Carrie B Pichie | 702 Cook Hill Road, Danielson, CT 06239 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Saylee Phongsamphanh | 50 Ruth St, Danielson, CT 06239 | Emergency Medical Technician | 2017-07-25 ~ 2020-06-30 |
Sarah R Gates - Williams | 42 Broad St, Danielson, CT 06239 | Notary Public Appointment | 2020-06-22 ~ 2025-06-30 |
Christy W Atsales | 246 Broad Street, Danielson, CT 06239 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Bonnie Steele | 216 Mechanic Street, Danielson, CT 06239 | Medication Administration Certification | 2020-06-27 ~ 2022-06-26 |
Leina'ala Rossman | 18 Prospect Ave. Apt H, Danielson, CT 06239 | Medication Administration Certification | 2020-08-08 ~ 2022-08-07 |
Bashir Q Muhammad | 19 B Palmer St, Danielson, CT 06239 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06239 |
City | DANIELSON |
Zip Code | 06239 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + DANIELSON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah L Herklots | 358 Main Street, Danielson, CT 06239 | Massage Therapist | 2004-06-24 ~ 2006-05-31 |
Adriaan L Kasmire · Leonardi | 192 Poverty Road, Southbury, CT 06488 | Speech and Language Pathologist | 2020-02-01 ~ 2021-01-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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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).