KATHERINE S ERVIN (Credential# 1171132) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 18, 2013. The license expiration date date is July 31, 2014. The license status is INACTIVE.
KATHERINE S ERVIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052405. The credential type is physician/surgeon. The effective date is September 18, 2013. The expiration date is July 31, 2014. The business address is 50 Magnolia Avenue, Larchmont, NY 10538. The current status is inactive.
Licensee Name | KATHERINE S ERVIN |
Credential ID | 1171132 |
Credential Number | 1.052405 |
Credential Type | Physician/Surgeon |
Business Address |
50 Magnolia Avenue Larchmont NY 10538 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2013-09-18 |
Effective Date | 2013-09-18 |
Expiration Date | 2014-07-31 |
Refresh Date | 2014-11-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
510507 | CSP.0044176 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-08-28 | 2009-03-12 - 2011-02-28 | INACTIVE |
Street Address | 50 Magnolia Avenue |
City | Larchmont |
State | NY |
Zip Code | 10538 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alan B Bernstein | 29 Mountain Ave, Larchmont, NY 10538 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
Gay B Prizio | 14 N. Chatsworth Avenue, Larchmont, NY 10538 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
Nestor J Kyritsis | 26 Plymouth Rd, Larchmont, NY 10538 | Architect | 2018-12-17 ~ 2019-07-31 |
Jill K Patricot | 63 Chestnut Avenue, Larchmont, NY 10538 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Kinnan K O'connell | 81 Willow Ave, Larchmont, NY 10538 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
Sandra Rose | 76 Wendt Ave, Larchmont, NY 10538 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
John D Parker | 10 Rockhill Terrace, Larchmont, NY 10538 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
Leslie Ellen Coplin | 4 Concord Avenue, Larchmont, NY 10538 | Master's Level Social Worker | 2020-04-06 ~ 2021-03-31 |
Tuccimar Inc. | 46 Vanderburgh Ave, Larchmont, NY 10538 | Demolition Contractor | 2020-04-06 ~ 2021-04-30 |
Denise Digioia Aprn | 35 N Chatsworth Avenue, Larchmont, NY 10538 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Find all Licenses in zip 10538 |
City | Larchmont |
Zip Code | 10538 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Larchmont |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ervin E Hanson None | 2900 Se Dune Dr, Stuart, FL 34996-1991 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Ervin A Jakab | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Ervin Jones Md | 3092 Butlers Bluff Dr, Cape Charles, VA 23310-1436 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Linda J Ervin · Ervin | 48 Silkey Road, North Granby, CT 06060 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Katherine E Rowan | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician/surgeon | ~ |
Katherine M. Jahnes | 21 E 10th St Apt 11d, New York, NY 10003-5922 | Physician/surgeon | ~ |
Diane Kim | 65 Katherine Ct, Shelton, CT 06484-4336 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Katherine E Klingensmith | 425 George St, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Katherine Ill | 324 Brewster Road, Bristol, CT 06010 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
Katherine H Campbell | 188 Bishop St, New Haven, CT 06511-3718 | 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).