KIM J NORVILLE MD (Credential# 557496) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 9, 2007. The license expiration date date is November 30, 2008. The license status is INACTIVE.
KIM J NORVILLE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039913. The credential type is physician/surgeon. The effective date is November 9, 2007. The expiration date is November 30, 2008. The business address is 701 Cottage Grove Rd, Bloomfield, CT 06002. The current status is inactive.
Licensee Name | KIM J NORVILLE MD |
Credential ID | 557496 |
Credential Number | 1.039913 |
Credential Type | Physician/Surgeon |
Business Address |
701 Cottage Grove Rd Bloomfield CT 06002 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2001-10-01 |
Effective Date | 2007-11-09 |
Expiration Date | 2008-11-30 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
319388 | CSP.0032710 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-05-20 | 2005-05-20 - 2006-02-28 | INACTIVE |
Street Address | 701 COTTAGE GROVE RD |
City | BLOOMFIELD |
State | CT |
Zip Code | 06002 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kenneth R Alleyne Md | 701 Cottage Grove Rd, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Daniel Marshall | 701 Cottage Grove Rd, Bloomfield, CT 06002-3080 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Cleo-khristine Sd Solomon Md | 701 Cottage Grove Rd, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Rajya L Malay Md | 701 Cottage Grove Rd, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
J Arnold Mittelman Md | 701 Cottage Grove Rd, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Gregory D Mcgriff | 701 Cottage Grove Rd, Bloomfield, CT 06002 | Physician/surgeon | 1998-10-05 ~ 1999-10-31 |
Elliot Sternthal Md | 701 Cottage Grove Rd, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 1993-01-12 ~ 1995-02-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06002 |
City | BLOOMFIELD |
Zip Code | 06002 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BLOOMFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rachel J Norville | 22 Central Ave, Wolcott, CT 06716-3002 | Paramedic | 2019-10-01 ~ 2020-09-30 |
Vanessa Norville | 27 Sandra Dr, Manchester, CT 06042 | Medication Administration Certification | 2019-06-01 ~ 2021-05-31 |
Rebecca Norville | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2001-07-23 ~ 2003-07-22 |
Samantha Cheress Norville | 30 Priscilla Ln, Stratford, CT 06615-7467 | Licensed Practical Nurse | 2019-07-01 ~ 2020-06-30 |
Louise A Norville | 59 Beaver Lake Circle, Ormond Beach, FL 32174 | Registered Nurse | 2007-06-05 ~ 2008-07-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
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 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).