JENNA LYNN KLIMOVICH (Credential# 1460849) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JENNA LYNN KLIMOVICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060002. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 19 Lenore Dr, Madison, CT 06443. The current status is active.
| Licensee Name | JENNA LYNN KLIMOVICH |
| Credential ID | 1460849 |
| Credential Number | 1.060002 |
| Credential Type | Physician/Surgeon |
| Business Address |
19 Lenore Dr Madison CT 06443 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-02-21 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1502346 | CSP.0067699 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-04-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 19 lenore dr |
| City | madison |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | madison |
| Zip Code | 06443 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + madison |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grigoriy Vitalyevich Klimovich | 540 Saybrook Rd Ste 100, Middletown, CT 06457-4760 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jenna Koliani-pace | 300 Western Blvd Ste A, Glastonbury, CT 06033-4305 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jenna Butner | 5-11 47th Avenue, Long Island City, NY 11101 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lynn W Whelchel Jr | Po Box 250, Colebrook, CT 06021 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jenna Lynn Fanelli | 1 Bayberry Rd, Elmsford, NY 10523-1701 | Occupational Therapist | 2020-06-08 ~ 2021-07-31 |
| Lynn D Wilson Md | 86 Old Hill Rd, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lynn C Winther | 191 Wilton Rd, Westport, CT 06880-2333 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lynn Yu | 17 Banbury Rd, West Simsbury, CT 06092-2601 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard G Greiner Md | 101 Lynn Dr, Guilford, CT 06437 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joel A Berman | 225 Boston St, Lynn, MA 01904 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
Please comment or provide details below to improve the information on JENNA LYNN KLIMOVICH.
| 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).