KATHLEEN ANN SMULKA
Physician/surgeon


Address: 273 Hildegarde Rd, Rochester, NY 14626-2350

KATHLEEN ANN SMULKA (Credential# 1038425) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 1992. The license expiration date date is September 30, 1993. The license status is INACTIVE.

Business Overview

KATHLEEN ANN SMULKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032244. The credential type is physician/surgeon. The effective date is May 1, 1992. The expiration date is September 30, 1993. The business address is 273 Hildegarde Rd, Rochester, NY 14626-2350. The current status is inactive.

Basic Information

Licensee Name KATHLEEN ANN SMULKA
Credential ID 1038425
Credential Number 1.032244
Credential Type Physician/Surgeon
Business Address 273 Hildegarde Rd
Rochester
NY 14626-2350
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-05-01
Effective Date 1992-05-01
Expiration Date 1993-09-30
Refresh Date 2011-10-20

Office Location

Street Address 273 HILDEGARDE RD
City ROCHESTER
State NY
Zip Code 14626-2350

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Michele A Fiorillo 33 Dundee Drive, Rochester, NY 14626 Professional Engineer 2019-02-01 ~ 2020-01-31
Griffin Daniel Latulippe 155 Canal Landing Boulevard, Rochester, NY 14626 Physician Assistant 2020-02-01 ~ 2021-01-31
Colleen M Parrish 140 Charit Way, Rochester, NY 14626 Registered Nurse ~ 1999-10-31
James K Arnold 1550 Manitou Road, Rochester, NY 14626 Registered Nurse 2006-04-12 ~ 2007-05-31
Michele A Yax 55 St. John's Dr., Rochester, NY 14626 Physical Therapist 2005-11-03 ~ 2006-01-31
Maureen C Mcninch 173 Ridgecrest Road, Rochester, NY 14626 Licensed Practical Nurse 2004-01-13 ~ 2004-05-31
Diddarjit K Grewal 40 Maple Knoll Drive, Rochester, NY 14626 Physician/surgeon 2007-11-19 ~ 2009-01-31
John P Rynne 381 Sannita Dr, Rochester, NY 14626 Temporary Certified General Real Estate Appraiser 2002-04-02 ~ 2002-09-27
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City ROCHESTER
Zip Code 14626
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ROCHESTER

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Dataset Information

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).

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