KIMBERLY C RIQUELME (Credential# 1267221) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KIMBERLY C RIQUELME is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054151-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1353 Gold Star Hwy, Groton, CT 06340-2739. The current status is active.
| Licensee Name | KIMBERLY C RIQUELME |
| Credential ID | 1267221 |
| Credential Number | 1.054151-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
1353 Gold Star Hwy Groton CT 06340-2739 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-05-20 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1283141 | CSP.0060153 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-05-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1353 GOLD STAR HWY |
| City | GROTON |
| State | CT |
| Zip Code | 06340-2739 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher D Deveau | 1353 Gold Star Hwy, Groton, CT 06340-2739 | Chiropractor | 2020-05-01 ~ 2021-04-30 |
| Alejandro Gonzalez-restrepo | 1353 Gold Star Hwy, Groton, CT 06340 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stonington Institute | 1353 Gold Star Hwy, Groton, CT 06340-2739 | Mental Health Day Treatment | 2014-01-01 ~ 2017-12-31 |
| Steve Thore Md | 1353 Gold Star Hwy, Groton, CT 06359 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GROTON |
| 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 |
| Kimberly D Martin | 477 George St, New Haven, CT 06511-5403 | Physician/surgeon | 2009-08-26 ~ 2010-07-09 |
| Kimberly L Johung | 7 Partridge Ln, Branford, CT 06405-2864 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Priya Rastogi Md | 6 Kimberly Dr, Huntington, CT 06484-5773 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Kimberly K Boyd | 11 1st St, Colorado Springs, CO 80906-7501 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Carol L Dorfman | 81 Kimberly Dr, Guilford, CT 06437-1314 | 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 |
| Kimberly L Flood | 16 Bayberry Lane, Greenwich, CT 06830 | Physician/surgeon | 1999-11-17 ~ 2001-01-31 |
| Kimberly Brown | 64 Knollwood Lane, Avon, CT 06001 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on KIMBERLY C RIQUELME.
| 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).