KIMBERLY M EICKHORST MD (Credential# 884169) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
KIMBERLY M EICKHORST MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048074. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 170 Mount Pleasant Road, Newtown, CT 06740-1408. The current status is active.
| Licensee Name | KIMBERLY M EICKHORST MD |
| Credential ID | 884169 |
| Credential Number | 1.048074 |
| Credential Type | Physician/Surgeon |
| Business Address |
170 Mount Pleasant Road Newtown CT 06740-1408 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-08-21 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 894782 | CSP.0046544 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 170 Mount Pleasant Road |
| City | NEWTOWN |
| State | CT |
| Zip Code | 06740-1408 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carmela J Luzi | 170 Mount Pleasant Road, Newtown, CT 06470-1408 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caroline L Larosa | 170 Mount Pleasant Road, Newtown, CT 06470-1408 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laurence Sibrack | 170 Mount Pleasant Road, Newtown, CT 06470 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sharon R Maloney | 25 Mac Arthur Drive, Waterbury, CT 06740 | Notary Public Appointment | 1998-05-26 ~ 2003-05-31 |
| Cynthia T Brown | 338 Perkins Ave Bld 2 #6, Waterbury, CT 06740 | Notary Public Appointment | 1987-12-11 ~ 1992-03-31 |
| Siobhan M Deveney | 10 Greenleaf Frms Rd, Newtown, CT 06740 | Registered Nurse | 2003-03-11 ~ 2004-03-31 |
| Darin S Namer · Newtown General | 43 Main Street, Newtown, CT 06740 | Grocery Beer | 1999-04-02 ~ 2000-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claudia M Vignola | 2 Overlook Dr, Newtown, CT 06470-1514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kenneth J Tardie | 13 Lazybrook Rd, Newtown, CT 06470 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Christopher S Kisker | 3 Arthurs Ct, Newtown, CT 06470-2476 | Chiropractor | 2020-09-01 ~ 2021-08-31 |
| Kimberly A. Baker | 9 Maltbie Rd, Newtown, CT 06470-2541 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Peter Nagy | 21 Scudder Rd, Newtown, CT 06470 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Lauren K Abdulrahman | 38 Brookwood Dr, Newtown, CT 06470-1829 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Cheryl R Schwartz · Nisenbaum | 8 Old Gate Lane, Newtown, CT 06470 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Isabel Da Rocha | 143 Hanover Road, Newtown, CT 06470 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Courtney M Parker | 153 Boggs Hill Rd, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ellery J Mcfarland | 45 Turkey Hill Rd, Newtown, CT 06470-2342 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Find all Licenses in NEWTOWN | |||
| City | NEWTOWN |
| Zip Code | 06740 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEWTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Carol L Dorfman | 81 Kimberly Dr, Guilford, CT 06437-1314 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kimberly D Martin | 477 George St, New Haven, CT 06511-5403 | Physician/surgeon | 2009-08-26 ~ 2010-07-09 |
| Kimberly K Boyd | 11 1st St, Colorado Springs, CO 80906-7501 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Kimberly L Johung | 7 Partridge Ln, Branford, CT 06405-2864 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kimberly J Henderson | 24 State Rte. 727, Ansonia, CT 06401 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Priya Rastogi Md | 6 Kimberly Dr, Huntington, CT 06484-5773 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Kimberly R Marble | 85 Eagle Road, Worcester, MA 01605 | Physician/surgeon | 1996-01-29 ~ 1997-01-31 |
| Kimberly L Flood | 16 Bayberry Lane, Greenwich, CT 06830 | Physician/surgeon | 1999-11-17 ~ 2001-01-31 |
Please comment or provide details below to improve the information on KIMBERLY M EICKHORST MD.
| 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).