MARTHA S KEARNS (Credential# 559409) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2011. The license expiration date date is September 30, 2012. The license status is INACTIVE.
MARTHA S KEARNS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041826. The credential type is physician/surgeon. The effective date is October 1, 2011. The expiration date is September 30, 2012. The business address is 3001 23rd Ave S. Unit C, Fargo, ND 58103. The current status is inactive.
| Licensee Name | MARTHA S KEARNS |
| Credential ID | 559409 |
| Credential Number | 1.041826 |
| Credential Type | Physician/Surgeon |
| Business Address |
3001 23rd Ave S. Unit C Fargo ND 58103 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-09-02 |
| Effective Date | 2011-10-01 |
| Expiration Date | 2012-09-30 |
| Refresh Date | 2013-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 378894 | CSP.0035637 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-25 | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 3001 23rd Ave S. Unit C |
| City | Fargo |
| State | ND |
| Zip Code | 58103 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric A Greiff | 1020 36th St S, Fargo, ND 58103 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Eide Bailly LLP | 4310 17th Ave South, Fargo, ND 58103 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Heyer Engineering | 1020 36th Street Sw, Fargo, ND 58103 | Professional Engineering Corporation | ~ |
| Joel S. Thomsen | 4310 17th Avenue S, Fargo, ND 58103 | Certified Public Accountant License | 2009-01-01 ~ 2009-12-31 |
| Louisa M Mcfarlen | 3207 23rd Ave S, Fargo, ND 58103 | Registered Nurse | 2008-11-07 ~ 2009-10-31 |
| Roberta J Engquist | 1546 5th Ave South, Fargo, SD 58103 | Registered Nurse | 2003-08-25 ~ 2004-09-30 |
| Kyongwook Yim | 3261 Evergreen Road, Fargo, ND 58103 | Physician/surgeon | 1998-01-12 ~ 1999-01-31 |
| Clinical Supplies Management Inc. | 342 42nd Street South, Fargo, ND 58103 | Nonresident Pharmacy | 2007-09-01 ~ 2008-08-31 |
| Debra Lyn Matthews | 19 8th St S # 308, Fargo, ND 58103-1804 | Registered Nurse | 2020-05-04 ~ 2021-05-31 |
| Stevan G Dewald | 700 Main Ave, Fargo, ND 58103-1807 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Find all Licenses in zip 58103 | |||
| City | Fargo |
| Zip Code | 58103 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Fargo |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Edward Kearns | 3120 Francinelane Dr, Columbus, OH 43235-3229 | Physician/surgeon | ~ 1989-12-31 |
| Kenneth M Kearns | 1880 Voerman Road, Whitefish, MT 59937 | Physician/surgeon | 2008-04-07 ~ 2009-03-31 |
| Joanne Kearns | 1109 Riva Ridge Dr., Great Falls, VA 22066 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Kevin J Kearns | 1109 Riva Ridge Drive, Great Falls, VA 22066 | Physician/surgeon | 2017-09-01 ~ 2018-08-31 |
| William T Kearns · Kearns Construction | 244 North Goshen Rd, Goshen, CT 06756 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Martha Lauster | 360 3rd Street Suite 425, San Francisco, CA 94107 | Physician/surgeon | ~ |
| Martha Praught | 131 Birch St, Roslindale, MA 02131-3431 | Physician/surgeon | 1987-03-13 ~ 1992-03-31 |
| Roy P Simmons | 4315 Martha Ave, Woodlawn, NY 10470 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| Martha Buitrago Md | 36 Lincoln St, New Haven, CT 06511 | Physician/surgeon | 2002-01-24 ~ 2003-02-28 |
| Martha A Howard Md | 206 Church St, Guilford, CT 06437 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on MARTHA S KEARNS.
| 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).