CARLA M JACOBSON-KIEL (Credential# 547096) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
CARLA M JACOBSON-KIEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028314. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 35 Minister Brook Dr, Simsbury, CT 06070. The current status is active.
| Licensee Name | CARLA M JACOBSON-KIEL |
| Doing Business As | JACOBSON |
| Credential ID | 547096 |
| Credential Number | 1.028314 |
| Credential Type | Physician/Surgeon |
| Business Address |
35 Minister Brook Dr Simsbury CT 06070 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1987-07-15 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159893 | CSP.0018362 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 35 MINISTER BROOK DR |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | SIMSBURY |
| Zip Code | 06070 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Mark I Jacobson | 15 Dogwood Ln, Pomona, NY 10970-3314 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Leah B. Jacobson | 37 Birch Dr, Katonah, NY 10536-3840 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| Harvey Jacobson | 12 Alden Ave, New Haven, CT 06515 | Physician/surgeon | 1995-08-22 ~ 1996-08-31 |
| Edward Jacobson | 1 Perryridge Rd, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Eric Jacobson | 313 Den Road, Stamford, CT 06903 | Physician/surgeon | 2002-04-23 ~ 2003-05-31 |
| Jeffrey M. Jacobson | 7 Erie Ave, Hornell, NY 14843-1909 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
| Carla F Jacobson | 10 Johns Rd, Brookfield, CT 06804-1104 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Stuart A Jacobson Md | 3851 Main St, Bridgeport, CT 06606 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sheila J Jacobson | 325 Douglas Ave, Toronto Ontario, M5M 1H2 | Physician/surgeon | 1997-10-10 ~ 1998-10-31 |
Please comment or provide details below to improve the information on CARLA M JACOBSON-KIEL.
| 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).