BARBARA A MIKICKI (Credential# 550550) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 19, 1994. The license expiration date date is December 31, 1995. The license status is INACTIVE.
BARBARA A MIKICKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032951. The credential type is physician/surgeon. The effective date is December 19, 1994. The expiration date is December 31, 1995. The business address is Western State Hosp, Hopkinsville, KY 42240. The current status is inactive.
| Licensee Name | BARBARA A MIKICKI |
| Credential ID | 550550 |
| Credential Number | 1.032951 |
| Credential Type | Physician/Surgeon |
| Business Address |
Western State Hosp Hopkinsville KY 42240 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-05-14 |
| Effective Date | 1994-12-19 |
| Expiration Date | 1995-12-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162811 | CSP.0020982 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-06-02 - 1995-01-01 | INACTIVE |
| Street Address | WESTERN STATE HOSP |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael G Faulkner | 117 Shadowood Trail, Hopkinsville, KY 42240 | Engineer-in-training | 2005-11-15 ~ 2015-11-15 |
| Francis E Cassidy | 3702 Bahama Dr, Hopkinsville, KY 42240 | Electrical Unlimited Contractor | 2008-10-01 ~ 2009-09-30 |
| Amanda S Savage | 3415 Ginger Dr, Hopkinsville, KY 42240 | Registered Nurse | 1994-10-11 ~ 1995-10-31 |
| Brett J Armer | 1004 Walnut Court, Hopkinsville, KY 42240 | Registered Nurse | 2006-05-01 ~ 2007-05-31 |
| Cory Allen Mayes | 525 Linda Dr, Hopkinsville, KY 42240-3956 | Registered Nurse | 2019-10-11 ~ 2020-08-31 |
| Rachael Marie Mayes | 525 Linda Dr, Hopkinsville, KY 42240-3956 | Registered Nurse | 2019-12-06 ~ 2020-03-31 |
| Eddie A Manley Aprn | 506 Linda Dr, Hopkinsville, KY 42240-3957 | Controlled Substance Registration for Practitioner | 2011-05-31 ~ 2013-02-28 |
| Robert P Savage | 3415 Ginger Drive, Hopkinsville, KY 42240-3965 | Registered Nurse | 1999-09-17 ~ 2000-11-30 |
| Barry B Allen | 216 Donna Dr, Hopkinsville, KY 42240-5218 | Registered Nurse | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert H Mundy | Po Box 387, Hopkinsville, KY 42241 | Registered Sanitarian | 2001-04-19 ~ 2002-06-30 |
| City | HOPKINSVILLE |
| Zip Code | 42240 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HOPKINSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Miroslaw Mikicki · National Industries Inc (s) | Po Box 351, Middletown, CT 06457 | Home Improvement Salesperson | ~ 1993-01-01 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
| Barbara E Scanley Md | New Haven, CT 06512-3947 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Barbara A Roach Md | Po Box 358, Coventry, CT 06238-0358 | Physician/surgeon | 2019-11-27 ~ 2021-01-31 |
| Barbara Lock | 35 Coolidge Ave, Rye, NY 10580-1306 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Barbara A Greco Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1119 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Benedict Vicas | 425 Barbara Way, Burlingame, CA 94010 | Physician/surgeon | 2004-03-29 ~ 2005-03-31 |
| Barbara A Witter Md | 3 Golden Ct, Cromwell, CT 06416 | Physician/surgeon | 2001-11-14 ~ 2002-12-31 |
| Barbara M Kirrane Md | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
Please comment or provide details below to improve the information on BARBARA A MIKICKI.
| 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).