KIMBERLY L NICOLL MD (Credential# 564262) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.
KIMBERLY L NICOLL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046680. The credential type is physician/surgeon. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is 1298 Hartford Turnpike Unit 10g, North Haven, CT 06473. The current status is inactive.
| Licensee Name | KIMBERLY L NICOLL MD |
| Credential ID | 564262 |
| Credential Number | 1.046680 |
| Credential Type | Physician/Surgeon |
| Business Address |
1298 Hartford Turnpike Unit 10g North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-06-24 |
| Effective Date | 2010-04-01 |
| Expiration Date | 2011-03-31 |
| Refresh Date | 2011-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 446241 | CSP.0039887 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-26 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 1298 HARTFORD TURNPIKE UNIT 10G |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel J Nicoll | 4 Bayview Dr, Plainview, NY 11803-1534 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Clara E. Filice | 101 Nicoll St Fl 1, New Haven, CT 06511-2621 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
| Nicholas F Vasquez Md` | 96 Nicoll St#2, New Haven, CT 06511 | Physician/surgeon | 2004-09-01 ~ 2005-09-30 |
| Laine E Taylor | 200 Nicoll St Apt 2, New Haven, CT 06511-2624 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Nyolima J Kapalanga | 246 Nicoll St., New Haven, CT 06511 | Physician/surgeon | 2000-11-08 ~ 2001-08-31 |
| Dale L Nicoll · Nicoll's Landscaping Inc | 1025 Old Clinton Rd, Westbrook, CT 06498 | Home Improvement Contractor | 1995-10-01 ~ 1996-11-30 |
| Kimberly Farrell | 34 Purchase St, Rye, NY 10580 | Physician/surgeon | ~ |
| Kimberly K Whitesell | 22 Eld St, New Haven, CT 06511 | Physician/surgeon | 1995-06-28 ~ 1996-06-30 |
| Kimberly D Martin | 477 George St, New Haven, CT 06511-5403 | Physician/surgeon | 2009-08-26 ~ 2010-07-09 |
| Carol L Dorfman | 81 Kimberly Dr, Guilford, CT 06437-1314 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).