BRENDA KOBLICK MD (Credential# 544636) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.
BRENDA KOBLICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023604. The credential type is physician/surgeon. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is Indian Spring Lane, Norwich, CT 06360. The current status is inactive.
| Licensee Name | BRENDA KOBLICK MD |
| Credential ID | 544636 |
| Credential Number | 1.023604 |
| Credential Type | Physician/Surgeon |
| Business Address |
Indian Spring Lane Norwich CT 06360 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1982-06-07 |
| Effective Date | 2017-11-01 |
| Expiration Date | 2018-10-31 |
| Refresh Date | 2019-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 145609 | CSP.0011304 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | INDIAN SPRING LANE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harvey N Mandell | Indian Spring Lane, Norwich, CT 06360 | Physician/surgeon | 1994-09-21 ~ 1995-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc J Koblick | 8 Tidewater Drive, Ormond Beach, FL 32174 | Physician/surgeon | 2009-04-02 ~ 2010-04-30 |
| Cynthia Zywocinski Do | 100 Brenda Ct, Yorktown, VA 23693-3136 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brenda S Chan Md | 30 Commerce Road, Stamford, CT 06902 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Brenda Y Wu | 1700 Sw 16th Court, Gainesville, FL 32608 | Physician/surgeon | 2002-05-30 ~ 2002-11-30 |
| John R Brenner | 5815 Brenda Lane, San Antonio, TX 78240 | Physician/surgeon | ~ |
| Brenda L Planck | River Valley Services, Middletown, CT 06457 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brenda G Kuhn | 29451 N. 74th Street, Scottsdale, AZ 85255 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
| Brenda Christian | 55 Meloy Road, Building 8, Apt. 6c, West Haven, CT 06516 | Physician/surgeon | 2002-11-05 ~ 2003-10-31 |
| Brenda Edith Chacon Moreno | 132 Main Street, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brenda Sun & Associates Inc · Brenda B Sun Broker | 76 Mamaroneck Ave, White Plains, NY 10601 | Real Estate Broker | 1996-06-01 ~ 1997-05-31 |
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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).