JACOB BRIAN KEEPERMAN (Credential# 1681107) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 8, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
JACOB BRIAN KEEPERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064402. The credential type is physician/surgeon. The effective date is October 8, 2019. The expiration date is October 31, 2020. The business address is 1001 Boardwalk Springs Place, O'falon, MO 63368. The current status is active.
Licensee Name | JACOB BRIAN KEEPERMAN |
Credential ID | 1681107 |
Credential Number | 1.064402 |
Credential Type | Physician/Surgeon |
Business Address |
1001 Boardwalk Springs Place O'falon MO 63368 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-10-08 |
Effective Date | 2019-10-08 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-10-11 |
Street Address | 1001 Boardwalk Springs Place |
City | O'Falon |
State | MO |
Zip Code | 63368 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary Joan Vinslauski | 300 William Clark Dr, O Fallon, MO 63368 | Registered Nurse | ~ |
Lashelle Ann Gilbert | 58 Pensacola Court, Ofallon, MO 63368 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Eryn E Killeen | 67 Rock Church Dr, Ofallon, MO 63368 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Pamela Elizabeth Korte | 104 Sunnybrooke Estates Ct, Dardenne Prairie, MO 63368 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Ginger Lee Macke | 2306 Stoney Brook Drive, O'fallon, MO 63368 | Registered Nurse | 2018-09-19 ~ 2019-03-31 |
Maribel Ramos | 35 Tailor Ct, O Fallon, MO 63368 | Physical Therapist Assistant | ~ |
Carol S Conley | 808 Sunflower Manor, O'fallon, MO 63368 | Registered Nurse | ~ |
Mary S Stirmlinger | 656 Knollshire Way, Dardenne Prairie, MO 63368 | Registered Nurse | 2005-12-01 ~ 2006-12-31 |
Bradley J Schopp | 7128 Basswood Dr, O'fallon, MO 63368 | Temporary Certified General Real Estate Appraiser | 2007-12-10 ~ 2008-06-10 |
Remani M Natesan | 2310 Stoney Brook Dr, O Fallon, MO 63368-3545 | Registered Nurse - Temporary | 2011-05-31 ~ 2011-09-28 |
Find all Licenses in zip 63368 |
City | O'Falon |
Zip Code | 63368 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + O'Falon |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jacob Hen Jr | 745 Stratfield Rd, Fairfield, CT 06825-1650 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Tyler Jacob Hendricks | 298 5th Ave Fl 7, New York, NY 10001-4522 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
Jessie K Jacob | 55 Wildway, Bronxville, NY 10708 | Physician/surgeon | 2006-08-24 ~ 2007-09-30 |
Jacob E Crothers | 435 Deering Ave, Portland, ME 04103-4429 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jacob E Finkelstein | 33 Cedar Street, Rye, NY 10580 | Physician/surgeon | 2000-11-13 ~ 2001-12-31 |
Katherine Jacob | 915 W Exchange Pkwy Ste 160, Allen, TX 75013-7019 | Physician/surgeon | ~ |
Shalini M Jacob | Apt 69d Fairway Dr, Wethersfield, CT 06109 | Physician/surgeon | 1998-05-18 ~ 1999-05-31 |
Jacob H Schoeneck | 90b Howe St, New Haven, CT 06511-4607 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
Jacob T Chachkes | 110 South Ave, New Canaan, CT 06840 | Physician/surgeon | 2001-02-27 ~ 2002-05-21 |
Jacob Finestone | 951 E 23rd St, Brooklyn, NY 11210-3621 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).