SHERSTEN KILLIP (Credential# 556574) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2000. The license expiration date date is September 30, 2001. The license status is INACTIVE.
SHERSTEN KILLIP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038986. The credential type is physician/surgeon. The effective date is September 1, 2000. The expiration date is September 30, 2001. The business address is 183 Ridgefield Drive, Middletown, CT 06457. The current status is inactive.
Licensee Name | SHERSTEN KILLIP |
Credential ID | 556574 |
Credential Number | 1.038986 |
Credential Type | Physician/Surgeon |
Business Address |
183 Ridgefield Drive Middletown CT 06457 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2000-09-01 |
Effective Date | 2000-09-01 |
Expiration Date | 2001-09-30 |
Refresh Date | 2009-07-08 |
Street Address | 183 Ridgefield Drive |
City | Middletown |
State | CT |
Zip Code | 06457 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Frank E Krystock Jr | 183 Ridgefield Drive, Middletown, CT 06457 | Notary Public Appointment | 2004-11-05 ~ 2009-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | Middletown |
Zip Code | 06457 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Middletown |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Margaret E Killip | 31 Hunt Street, Rowayton, CT 06853 | Notary Public Appointment | 2016-03-01 ~ 2021-02-28 |
Leslie A Mc Killip | 8 Brantwood Drive, Madison, CT 06443 | Notary Public Appointment | 2001-11-06 ~ 2006-11-30 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
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 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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).