KIMBALL P WOODWARD (Credential# 548261) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 29, 1999. The license expiration date date is December 31, 2000. The license status is INACTIVE.
KIMBALL P WOODWARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030146. The credential type is physician/surgeon. The effective date is December 29, 1999. The expiration date is December 31, 2000. The business address is 30 Manitou Road, Westport, CT 06880. The current status is inactive.
| Licensee Name | KIMBALL P WOODWARD |
| Credential ID | 548261 |
| Credential Number | 1.030146 |
| Credential Type | Physician/Surgeon |
| Business Address |
30 Manitou Road Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1989-07-14 |
| Effective Date | 1999-12-29 |
| Expiration Date | 2000-12-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 30 MANITOU ROAD |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harlan R Daman | 769 Kimball Ave, Yonkers, NY 10704 | Physician/surgeon | 2006-09-18 ~ 2007-11-30 |
| Ann Farrell Md | Day Kimball Hospital, Putnam, CT 06260 | Physician/surgeon | 1998-05-29 ~ 1999-06-30 |
| Wael F Al-husami | 6 Kimball Court, Woburn, MA 01801 | Physician/surgeon | 2009-04-22 ~ 2009-11-30 |
| Alexander Paul Briand | 7 Kimball St Apt 34, Lebanon, NH 03766-1736 | Physician/surgeon | 2020-04-23 ~ 2021-03-31 |
| Paul Y Wong Md | Day Kimball Hospital, Putnam, CT 06260 | Physician/surgeon | 2005-04-28 ~ 2006-05-31 |
| Jacquelyn R Kimball | 151 Fred Jackson Rd, Southwick, MA 01077-9712 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Boris Konnikow Md | Day Kimball Hospital, Putnam, CT 06260-1868 | Physician/surgeon | 1999-01-19 ~ 2000-02-29 |
| Bilal Kamal Alam | 8 Kimball Court, Burlington, MA 01803 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Juan M Perez Velazquez | Day Kimball Hospital, Putnam, CT 06260-1836 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Denis R Baillargeon Md | Day Kimball Hospital Prof Bldg, Putnam, CT 06260 | Physician/surgeon | 2007-04-19 ~ 2008-06-30 |
Please comment or provide details below to improve the information on KIMBALL P WOODWARD.
| 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).