KELLI SUZANNE BUCKNER (Credential# 1803913) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 6, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
KELLI SUZANNE BUCKNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064648-DO. The credential type is physician/surgeon. The effective date is December 6, 2019. The expiration date is November 30, 2020. The business address is 7750 Town Centre Drive, Broadview Heights, OH 44147. The current status is active.
| Licensee Name | KELLI SUZANNE BUCKNER |
| Credential ID | 1803913 |
| Credential Number | 1.064648-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
7750 Town Centre Drive Broadview Heights OH 44147 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-12-06 |
| Effective Date | 2019-12-06 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-12-09 |
| Street Address | 7750 Town Centre Drive |
| City | Broadview Heights |
| State | OH |
| Zip Code | 44147 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mss Series Trust | 8000 Towne Centre Drive, Broadview Heights, OH 44147 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
| Kristin M Kunze | 151 Kimrose Ln, Broadview Hts, OH 44147 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Noel Lawrence Cupkovic | 538 Fairway Lane, Broadview Heights, OH 44147 | Architect | 2019-11-29 ~ 2020-07-31 |
| Casey Malone Herbert | 8352 Vera Dr, Broadview Heights, OH 44147 | Registered Nurse - Temporary | 2019-01-25 ~ 2019-05-25 |
| Andrea Michelle Kinzer | 1130 Wolf Drive, Broadview Heights, OH 44147 | Registered Nurse | 2017-09-29 ~ 2018-07-31 |
| Maria Valdescaro · Nobre | 655 Cornell Drive, Broadview Hts, OH 44147 | Hairdresser/cosmetician | 2008-04-16 ~ 2010-03-31 |
| Katherine M Mewhinney | 6150 E Wallings Rd, Broadview Hts, OH 44147 | Registered Nurse | 1992-03-24 ~ 1993-03-31 |
| Lawrence W Miller | 8184 Thackeray Ct., Broadview Heights, OH 44147 | Physician/surgeon | 2003-02-18 ~ 2004-04-30 |
| John S Schell | 1204 Stoney Run Trail, Broadview Heights, OH 44147 | Psychologist | 1999-12-01 ~ 2000-12-31 |
| Ryan P Connor | 1178 Valley Park Dr, Broadview Heights, OH 44147-1642 | Public Service Technician - Telephone | 2008-10-03 ~ 2009-09-30 |
| Find all Licenses in zip 44147 | |||
| City | Broadview Heights |
| Zip Code | 44147 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Broadview Heights |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott C Buckner | 110 Albany Turnpike, Canton, CT 06019-2549 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Ayanna V Buckner Md | 207 High Top Circle West, Hamden, CT 06514 | Physician/surgeon | 2005-02-25 ~ 2006-02-28 |
| David Buckner · David Buckner Carpentry | Peaceable Hill, Brewster, NY 10509 | Home Improvement Contractor | 1995-06-16 ~ 1995-11-30 |
| Kelli Harper | 17 Chase Street, Newton, MA 02459 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kelli J. Baldrick | 1716 E Mcnair Dr, Tempe, AZ 85283-5000 | Physician/surgeon | 2019-10-01 ~ 2020-03-31 |
| Buckner International | 700 N Pearl St Ste 1200, Dallas, TX 75201-7405 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Buckner Foundation Inc. | 700 N Pearl St Ste 1200, Dallas, TX 75201-7405 | Public Charity | 2015-12-01 ~ 2016-11-30 |
| Suzanne Mallouk Md | 544 Riverside Ave, Westport, CT 06880-5731 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Suzanne M Carroll Md | 11 S Brainard St, Naperville, IL 60540-4901 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| Suzanne P Tingley | 154 Main St, Old Saybrook, CT 06475 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).