AMY KLEINKLAUS LEE (Credential# 557743) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2014. The license expiration date date is November 30, 2015. The license status is INACTIVE.
AMY KLEINKLAUS LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040160-DO. The credential type is physician/surgeon. The effective date is December 1, 2014. The expiration date is November 30, 2015. The business address is Ob/gyn Associates, Stamford, CT 06902-3633. The current status is inactive.
| Licensee Name | AMY KLEINKLAUS LEE |
| Credential ID | 557743 |
| Credential Number | 1.040160-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
Ob/gyn Associates Stamford CT 06902-3633 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-02-14 |
| Effective Date | 2014-12-01 |
| Expiration Date | 2015-11-30 |
| Refresh Date | 2016-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1237993 | CSP.0058377 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-08-02 | 2014-08-02 - 2015-02-28 | INACTIVE |
| 312712 | CSP.0032249 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | OB/GYN ASSOCIATES |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3633 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Astrid Hoffmann-olsen Md | 29 Hospital Plaza Suite 400, Stamford, CT 06902-3633 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Anna Moniodis | 190 W Broad St, Stamford, CT 06902-3633 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lisa A Dishongh Md | 29 Hospital Plaza, Suite 400, Stamford, CT 06902-3633 | Controlled Substance Registration for Practitioner | 2019-03-07 ~ 2021-02-28 |
| Lizabeth M Sachs | 29 Hospital Plaza #505, Stamford, CT 06902-3633 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie Goldpin | 190 W Broad St # G-401, Stamford, CT 06902-3633 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marjan Hedayatzadeh | 190 W Broad St Ste G401, Stamford, CT 06902-3633 | Physician/surgeon | ~ |
| Gary S. Besser | 29 Hospital Plaza, Stamford, CT 06902-3633 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephanie I Goldpin | 29 Hospital Plaza, Stamford, CT 06902-3633 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally E Kleinklaus | 5200 Summit Ridge Dr, Reno, NV 89523 | Registered Nurse | 2008-04-01 ~ 2009-03-31 |
| 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 |
| 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 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).