KIRANA KEFALOS (Credential# 546760) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2012. The license expiration date date is October 31, 2013. The license status is INACTIVE.
KIRANA KEFALOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027749. The credential type is physician/surgeon. The effective date is November 1, 2012. The expiration date is October 31, 2013. The business address is 1919 Nw 27th Ave, Portland, OR 97210-2210. The current status is inactive.
| Licensee Name | KIRANA KEFALOS |
| Credential ID | 546760 |
| Credential Number | 1.027749 |
| Credential Type | Physician/Surgeon |
| Business Address |
1919 Nw 27th Ave Portland OR 97210-2210 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1986-10-30 |
| Effective Date | 2012-11-01 |
| Expiration Date | 2013-10-31 |
| Refresh Date | 2014-02-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156779 | CSP.0014725 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 1919 NW 27TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-2210 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy D Bestor | 1125 Nw 25th Ave, Portland, OR 97210 | Architect | 2019-08-01 ~ 2020-07-31 |
| Steven G Ewoldt | 2250 Nw 22nd #602, Portland, OR 97210 | Architect | 2017-08-01 ~ 2018-07-31 |
| Keen Mobility Company | 3323 Nw Yeon Ave, Portland, OR 97210 | Manufacturer of Bedding & Upholstered Furniture | 2006-07-17 ~ 2007-04-30 |
| David J Liss | 544 Nw Marlborough Avenue, Portland, OR 97210 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Pamela Williams | 2448 Nw Johnson Street, Portland, OR 97210 | Registered Nurse | 2010-09-01 ~ 2011-08-31 |
| Clear Creek Distillery | 1430 Nw 23rd Avenue, Portland, OR 97210 | Out of State Shipper Liquor | ~ |
| Edward Vaivoda Jr | 2558 Nw Marcia Ave, Portland, OR 97210 | Architect | ~ |
| Charles A Lehn | 25 N W 23rd Rd Place Ste #6, Portland, OR 97210 | Heating, Piping & Cooling Unlimited Contractor | 2006-09-01 ~ 2007-08-31 |
| Darlene Burke | 2232 N W Irving, Portland, OR 97210 | Hairdresser/cosmetician | 1994-06-16 ~ 1995-06-30 |
| Kevin M Johnson | 6665 W Burnside Ave, Portland, OR 97210 | Respiratory Care Practitioner | ~ 1995-12-31 |
| Find all Licenses in zip 97210 | |||
| City | PORTLAND |
| Zip Code | 97210 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PORTLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on KIRANA KEFALOS.
| 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).