MAXINE J KLEIN MD (Credential# 547735) 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.
MAXINE J KLEIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029358. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 14 Essex Glen Dr Unit 11, Essex, CT 06426-1576. The current status is active.
| Licensee Name | MAXINE J KLEIN MD |
| Credential ID | 547735 |
| Credential Number | 1.029358 |
| Credential Type | Physician/Surgeon |
| Business Address |
14 Essex Glen Dr Unit 11 Essex CT 06426-1576 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-08-19 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157790 | CSP.0017758 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 14 ESSEX GLEN DR UNIT 11 |
| City | ESSEX |
| State | CT |
| Zip Code | 06426-1576 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Essex Coffee & Tea Company LLC · Sweet P's LLC | 51 Main St, Essex, CT 06426 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jane Siris | 127 River Rd, Essex, CT 06426 | Architect | 2020-08-01 ~ 2021-07-31 |
| Emily Wininger | 33a Plains Rd., Essex, CT 06426 | Medication Administration Certification | 2018-07-12 ~ 2020-07-11 |
| Essex Transfer Station | Mira, Essex, CT 06426 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Laura D Pirsig | 29 Prospect St, Essex, CT 06426 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joe Zhang | 162 Westbrook Road, Essex, CT 06426 | Nail Technician | ~ |
| Diana M Radulescu Dds | 30 Laurel Road, Essex, CT 06426 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Tracy A Lenz | 23 Laurel Road, Essex, CT 06426 | Real Estate Salesperson | ~ |
| Marla R Bogaert | 16 Meadowwoods Road, Essex, CT 06426 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Abby B Wright | 64 Book Hill Road, Essex, CT 06426 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06426 | |||
| City | ESSEX |
| Zip Code | 06426 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ESSEX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carl D Bomar | 232 Maxine Road, Bristol, CT 06010 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Maxine S Asnis Md | 6456 Highway 61, Silver Bay, MN 55614 | Physician/surgeon | 2002-12-02 ~ 2003-12-31 |
| Andrei Klein | 180 Haines Rd, Bedford Hills, NY 10507-1213 | Physician/surgeon | ~ |
| Herman O Klein | 4 Schwartz St, Israel, 43213 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Madeline Klein | 148 Herbert Rd, Arlington, MA 02174 | Physician/surgeon | 2000-01-10 ~ 2001-03-31 |
| Adam M Klein Md | 94 Rvane St, Fairfield, CT 06430 | Physician/surgeon | 2002-08-16 ~ 2003-08-31 |
| Betty Klein Md | 57 North St, Danbury, CT 06810 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Carine R Klein | P.o.box 10100, Jackson, WY 83002 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Wesley Neal Klein | 20 Bow Lane, Barnstable, MA 02630 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Wendy A Klein | 160 Hawley Lane, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).