CHARLES B KIME (Credential# 550403) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
CHARLES B KIME is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032803. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 517 Falcon Trl, Vonore, TN 37885-2238. The current status is active.
| Licensee Name | CHARLES B KIME |
| Credential ID | 550403 |
| Credential Number | 1.032803 |
| Credential Type | Physician/Surgeon |
| Business Address |
517 Falcon Trl Vonore TN 37885-2238 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-02-19 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161915 | CSP.0020807 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 517 FALCON TRL |
| City | VONORE |
| State | TN |
| Zip Code | 37885-2238 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara K Polacsek | 200 Mallard Drive, Vonore, TN 37885 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Dorothy T Baumert | 173 Heron Ct, Vonroe, TN 37885 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
| Paul E Brennan Jr · J & L Electrical Services Inc | 132 Deer Path Trail, Vonore, TN 37885 | Electrical Unlimited Contractor | 2003-10-01 ~ 2004-09-30 |
| Esi Lederle Division of Wyeth · Patrick Flanagan Mgr | Div of American Home Products Corp, Vonore, TN 37885 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2003-07-01 ~ 2004-06-30 |
| Wyeth Pharmaceuticals Div of Wyeth · John Alivernini | 98 Excellence Way, Vonore, TN 37885 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2011-07-01 ~ 2012-06-30 |
| Genetics Institute Inc · Patrick Flanagan | 98 Excellence Way, Vonore, TN 37885 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2001-07-01 ~ 2002-06-30 |
| Exel Inc · Dhl Supply Chain (usa) | 98 Excellence Way, Vonore, TN 37885-2122 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Wyeth Pharmaceuticals Division of Wyeth LLC | 98 Excellence Way, Vonore, TN 37885-2122 | Wholesaler of Drugs, Cosmetics & Medical Devices | ~ |
| City | VONORE |
| Zip Code | 37885 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + VONORE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher El Khuri | 218 N Charles St, Baltimore, MD 21201-4021 | Physician/surgeon | ~ |
| Charles Flack | Ohs 3rd Fl, San Bernadino, CA 92415 | Physician/surgeon | 1993-09-23 ~ 1994-07-31 |
| Charles L Larkin Jr | Box 177, Middlebury, CT 06762 | Physician/surgeon | 2006-05-04 ~ 2007-05-31 |
| Charles F Stroebel IIi | Po Box 279, Andover, CT 06232-0279 | Physician/surgeon | 1998-03-16 ~ 1999-05-31 |
| Charles W Boren | Rt 2 Box 106, Pecos, NM 87552 | Physician/surgeon | 1993-05-25 ~ 1994-06-30 |
| Charles M Dickson | 95 Day St, Granby, CT 06035 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Charles A Mauriello | P.o Box 570, Villanova, PA 19085 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
| Charles L Wreschner | 21 Wainwright Dr, Woodstock, CT 06281-3030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Charles Kutler | 360 Washington Ave, Kingston, NY 12401-3702 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Charles D Bizilj Jr | 183 Hillside Rd, Ashford, CT 06278-2206 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).