KIMBERLY D TERRY (Credential# 1168329) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
KIMBERLY D TERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052462. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 7 Park Mountain, San Antonio, TX 78255. The current status is active.
| Licensee Name | KIMBERLY D TERRY |
| Credential ID | 1168329 |
| Credential Number | 1.052462 |
| Credential Type | Physician/Surgeon |
| Business Address |
7 Park Mountain San Antonio TX 78255 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-09-24 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-05-06 |
| Street Address | 7 PARK MOUNTAIN |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78255 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lenda G Krantz | 25817 Velvet Creek, San Antonio, TX 78255 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maria G James | 8010 Jalane Oaks, San Antonio, TX 78255 | Registered Nurse | 2008-04-30 ~ 2009-04-30 |
| Christian M Welch | 16218 Shooting Star, San Antonio, TX 78255-1110 | Controlled Substance Registration for Practitioner | 2013-10-09 ~ 2015-02-28 |
| Victor Kiselev | 15911 Shooting Star, San Antonio, TX 78255-1111 | Registered Nurse | 2019-12-02 ~ 2020-12-31 |
| Garrett W Wright | 7331 Shady Hollow Ln, San Antonio, TX 78255-1142 | Engineer-in-training | 2013-10-08 ~ 2023-10-08 |
| Randy L Olson | 8502 Driftwood Hl, San Antonio, TX 78255-2244 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jason Corbo | 25059 Elwell Pt, San Antonio, TX 78255-2338 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Mackenzie Christine Johnson | 15606 Seekers St, San Antonio, TX 78255-3301 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Gary Newland | 8114 Setting Moon, San Antonio, TX 78255-3306 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gary M Newland | 8114 Setting Moon, San Antonio, TX 78255-3306 | Registered Nurse - Temporary | 2015-07-28 ~ 2015-11-24 |
| Find all Licenses in zip 78255 | |||
| City | SAN ANTONIO |
| Zip Code | 78255 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAN ANTONIO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terry F Reardon | 512 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bryan Albert Terry | C/o 20 York St, New Haven, CT 06510 | Physician/surgeon | ~ |
| Lewis N Terry Jr | 200 Patewood Dr, Greenville, SC 29615-3593 | Physician/surgeon | 1965-08-13 ~ |
| Terry L Levin | 714 Forest Ave, Mamaroneck, NY 10543-4415 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Terry D Ryan Md | 11 West Lane, Niantic, CT 06357 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Terry K Schultz | 1552 Whitney Ave, Hamden, CT 06517 | Physician/surgeon | 1972-07-27 ~ 1973-11-30 |
| Terry L Koch Md | 1055 Washington Blvd Ste 440, Stamford, CT 06901-2218 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
| Richard N Sabinsky | 60 Terry Road Plaza, Smithtown, NY 11787 | Physician/surgeon | 1996-02-01 ~ 1996-12-31 |
| Marc Goldman | 2121 Terry Ave Apt 1801, Seattle, WA 98121-2735 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Terry Baksh Md | Healthcall Primary Care Center, Norwich, CT 06360 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).