CHARLENE LI (Credential# 543727) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
CHARLENE LI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021556. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 49 Kenwood Cir, Bloomfield, CT 06002-3435. The current status is active.
Licensee Name | CHARLENE LI |
Credential ID | 543727 |
Credential Number | 1.021556 |
Credential Type | Physician/Surgeon |
Business Address |
49 Kenwood Cir Bloomfield CT 06002-3435 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1979-07-05 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-06-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
148163 | CSP.0008845 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 49 KENWOOD CIR |
City | BLOOMFIELD |
State | CT |
Zip Code | 06002-3435 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Quyen Hong Phan | 73 Kenwood Cir, Bloomfield, CT 06002-3435 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-05-14 ~ 2021-07-31 |
Daniel Smith | 51 Kenwood Cir, Bloomfield, CT 06002-3435 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
George Keithan | 59 Kenwood Cir, Bloomfield, CT 06002-3435 | Emergency Medical Technician | 2016-12-01 ~ 2019-06-30 |
Lamonica Tile & Stone LLC | 31 Kenwood Cir, Bloomfield, CT 06002-3435 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
Jasmine R Mccaulley Rennie | 2 Wintonbury Mall, Bloomfield, CT 06002-3435 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Daniel M Smith | 51 Kenwood Cir, Bloomfield, CT 06002-3435 | Lottery Or Otb Service Provider Employee | 2018-07-16 ~ 2018-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06002 |
City | BLOOMFIELD |
Zip Code | 06002 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BLOOMFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary A Pieprzak | 79 Charlene Dr, New Britain, CT 06053 | Physician/surgeon | 1992-12-22 ~ 1994-01-31 |
Charlene A Browne | 2 Briar Ln, Bloomfield, CT 06002-1321 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
Charlene Kaiser | 97 Highfield Rd, Wilton, CT 06897 | Physician/surgeon | 1992-11-24 ~ 1993-11-30 |
Charlene V Kakimoto | 2123 Mitscher Ln, San Diego, CA 92106-6082 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
Charlene L. Stirling | 95 Queen Street, Dorchester, ON N0L1G2 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
Charlene H Burn | 49 Riverview Terrace, Upper Sanddle River, NJ 07458 | Physician/surgeon | 2006-12-21 ~ 2007-08-31 |
Charlene R T Criss | 153 Woodland Dr, Uncasville, CT 06382-1510 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Charlene James Inc · 1-800 Water Damage | 125a Old Iron Ore Rd, Bloomfield, CT 06002 | Home Improvement Contractor | 2005-12-12 ~ 2006-11-30 |
Charlene R Goins · Charlene Goins Painting | 120 Gallup Hill Rd Apt 1c, Ledyard, CT 06339-1617 | Home Improvement Contractor | 2008-04-21 ~ 2008-11-30 |
Charlene Wentworth Spreda | 35 Candee Road, Prospect, CT 06712-1805 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
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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).