BARBARA KOBLENZ MD (Credential# 545784) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
BARBARA KOBLENZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026035. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 501 Mary Esther Dr, Enfield, CT 06082-2161. The current status is active.
| Licensee Name | BARBARA KOBLENZ MD |
| Credential ID | 545784 |
| Credential Number | 1.026035 |
| Credential Type | Physician/Surgeon |
| Business Address |
501 Mary Esther Dr Enfield CT 06082-2161 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-05-18 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155309 | CSP.0016210 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 501 MARY ESTHER DR |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-2161 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Olney | 501 Mary Esther Dr, Enfield, CT 06082-2161 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Koblenz Cpa | 517 Grand St Fl 1, New York, NY 10002-4326 | Certified Public Accountant Firm Permit | 2019-01-17 ~ 2019-12-31 |
| Schloss Koblenz Spatburgunder | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-04-18 ~ 2019-04-17 |
| Schloss Koblenz Special 80 | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-04-18 ~ 2019-04-17 |
| Schloss Koblenz St Johanner Abtey Auslese | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2000-05-08 ~ 2003-05-08 |
| Schloss Koblenz St. Jonanner Abtey Kabinett | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2000-05-08 ~ 2003-05-08 |
| Weinhaus Schloss Koblenz Gmbh Trittenheimer Altarchen | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2010-12-28 ~ 2013-12-17 |
| Weinhaus Schloss Koblenz Gmbh Bornheimer Adelberg | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2010-12-28 ~ 2013-12-17 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
| Barbara A Roach Md | Po Box 358, Coventry, CT 06238-0358 | Physician/surgeon | 2019-11-27 ~ 2021-01-31 |
Please comment or provide details below to improve the information on BARBARA KOBLENZ MD.
| 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).