KATI MATTHIESSON (Credential# 552540) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 8, 2000. The license expiration date date is January 31, 2001. The license status is INACTIVE.
KATI MATTHIESSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034945. The credential type is physician/surgeon. The effective date is February 8, 2000. The expiration date is January 31, 2001. The business address is 88 Stonewall Ln, Fairfield, CT 06824-7809. The current status is inactive.
| Licensee Name | KATI MATTHIESSON |
| Credential ID | 552540 |
| Credential Number | 1.034945 |
| Credential Type | Physician/Surgeon |
| Business Address |
88 Stonewall Ln Fairfield CT 06824-7809 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-11-03 |
| Effective Date | 2000-02-08 |
| Expiration Date | 2001-01-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163248 | CSP.0023872 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
| Street Address | 88 STONEWALL LN |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-7809 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick J Carolan | 88 Stonewall Ln, Fairfield, CT 06824-7809 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Patrick J. Carolan | 88 Stonewall Ln, Fairfield, CT 06824-7809 | Honey Bee Registration | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kati Som | 136 Lone Oak Dr, New Milford, CT 06776-4211 | Hairdresser/cosmetician | ~ |
| Kati E Dee | 95 Virginia St, Portland, ME 04103 | Registered Nurse | 2011-10-01 ~ 2012-09-30 |
| Kati L Mercier | 32 Forest St, New Britain, CT 06052-1425 | Professional Engineer | 2020-02-03 ~ 2021-01-31 |
| Kati White | P.o. Box 726, Bristol, CT 06011-0726 | Medication Administration Certification | 2011-12-31 ~ 2013-12-30 |
| Kati A Walker | 707 Linda Street, Bald Knob, AR 72010 | Registered Nurse | 2003-07-07 ~ 2004-07-31 |
| Kati L White | 14 Pratt St, Bristol, CT 06010-6257 | Licensed Clinical Social Worker | 2019-07-01 ~ 2020-06-30 |
| Aiden T Keilty · Kati O'caseys | 85 Main St, Canaan, CT 06018 | Restaurant Liquor | 2007-04-27 ~ 2007-10-26 |
| Kati E Mc Curley | 1306 E Lakewalk Cir, Panama City Beach, FL 32413-1497 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Kati Riggio | 659 Main St, Cromwell, CT 06416-1429 | Family Child Care Substitute | 2006-03-01 ~ 2013-07-31 |
| Kati S Sylvester Pa | 472 Whitney Avenue, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATI MATTHIESSON.
| 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).