KATHERINE LIETZ (Credential# 884681) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2010. The license expiration date date is September 30, 2011. The license status is INACTIVE.
KATHERINE LIETZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048066. The credential type is physician/surgeon. The effective date is October 1, 2010. The expiration date is September 30, 2011. The business address is 4250 Granby St Unit 106, Norfolk, VA 23504-1126. The current status is inactive.
| Licensee Name | KATHERINE LIETZ |
| Credential ID | 884681 |
| Credential Number | 1.048066 |
| Credential Type | Physician/Surgeon |
| Business Address |
4250 Granby St Unit 106 Norfolk VA 23504-1126 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-08-21 |
| Effective Date | 2010-10-01 |
| Expiration Date | 2011-09-30 |
| Refresh Date | 2012-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 893444 | CSP.0046445 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-24 | 2009-09-24 - 2011-02-28 | INACTIVE |
| Street Address | 4250 GRANBY ST UNIT 106 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23504-1126 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neil M King | 130 Lavalette, Norfolk, VA 23504 | Physician/surgeon | 2005-10-26 ~ 2006-07-31 |
| Nicholas L Hanford | 4233 Llewellyn Ave Apt 215, Norfolk, VA 23504-1147 | Engineer-in-training | 2010-02-09 ~ 2020-02-09 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon Elizabeth Tallon | 19 Grant St, Norfolk, CT 06058-1326 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| David J Lapointe | 11 Medway Street, Norfolk, MA 02056 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Rachel Wilkinson | 48 North St., Norfolk, CT 06058 | Medication Administration Certification | 2020-06-04 ~ 2022-06-03 |
| Lost Ruby Farm | 458 Winchester Rd, Norfolk, CT 06058-1346 | Cheese Manufacturer | 2020-07-01 ~ 2022-06-30 |
| A B Bazzano Fuels Inc | 3 Blackberry St, Norfolk, CT 06058-1200 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Ginger Creek Nursery, LLC | 764 North St, Norfolk, CT 06058-1018 | Nursery Registration | 2020-07-01 ~ 2021-06-30 |
| Adele Malis Walsh | 9246 Rippard Ave, Norfolk, VA 23503-2730 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Rachele Ann Jones | 1616 Pocahontas St, Norfolk, VA 23511-2921 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith Szecsei | Po Box 707, Norfolk, CT 06058 | Architect | 2020-08-01 ~ 2021-07-31 |
| Catherine Briggs Johnson | 281 North St., Norfolk, CT 06058 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in NORFOLK | |||
| City | NORFOLK |
| Zip Code | 23504 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORFOLK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine E Rowan | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician/surgeon | ~ |
| Diane Kim | 65 Katherine Ct, Shelton, CT 06484-4336 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Katherine M. Jahnes | 21 E 10th St Apt 11d, New York, NY 10003-5922 | Physician/surgeon | ~ |
| Katherine H Campbell | 188 Bishop St, New Haven, CT 06511-3718 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Katherine H Goodrich Md | 190 Waite St Fl 2, Hamden, CT 06517-2529 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Katherine V Biagas Md | #401 44 Orange St, New Haven, CT 06510 | Physician/surgeon | 1999-02-16 ~ 2000-03-31 |
| Katherine M Detre | 130 Desoto St, Pittsburgh, PA 15261 | Physician/surgeon | 1995-03-06 ~ 1996-04-30 |
| Katherine A Close Md | 40 Wallacks Dr, Stamford, CT 06902-7125 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Katherine A Flanagan | 36 Pearl St, Mystic, CT 06355-1237 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on KATHERINE LIETZ.
| 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).