DAVID A KLOSS (Credential# 551102) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2012. The license expiration date date is May 31, 2013. The license status is INACTIVE.
DAVID A KLOSS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033503. The credential type is physician/surgeon. The effective date is June 1, 2012. The expiration date is May 31, 2013. The business address is General Surgery Clinic, Wadena, MN 56482. The current status is inactive.
Licensee Name | DAVID A KLOSS |
Credential ID | 551102 |
Credential Number | 1.033503 |
Credential Type | Physician/Surgeon |
Business Address |
General Surgery Clinic Wadena MN 56482 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1994-02-04 |
Effective Date | 2012-06-01 |
Expiration Date | 2013-05-31 |
Refresh Date | 2013-09-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
163392 | CSP.0022056 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | General Surgery Clinic |
City | Wadena |
State | MN |
Zip Code | 56482 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hc Holdings · Homecrest | 1250 Homecrest Ave, Wadena, MN 56482 | Manufacturer of Bedding & Upholstered Furniture | 2007-05-01 ~ 2008-04-30 |
Homecrest Industries Inc | Po Box 350, Wadena, MN 56482 | Manufacturer of Bedding & Upholstered Furniture | 2005-05-01 ~ 2006-04-30 |
Homecrest Outdoor Living LLC | 1250 Homecrest Ave Se, Wadena, MN 56482-1877 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
City | Wadena |
Zip Code | 56482 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Wadena |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard Kloss · Kloss Construction | 76 Patricia Ln, Thomaston, CT 06787 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
Robert A Kloss | Danbury Hospital, Danbury, CT 06810 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Kloss Realty Group LLC | 76 Patricia Lane, Thomaston, CT 06787 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
Patricia C Kloss · Richard S Kloss | 76 Patricia Lane, Thomaston, CT 06787 | Real Estate Salesperson | 2004-06-01 ~ 2005-05-31 |
David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
David Kessler | 615 W 131st St, New York, NY 10027 | Physician/surgeon | ~ |
David Brian Feig | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | ~ |
David R Widrow Md | 22 Fifth St, Stamford, CT 06905 | Physician/surgeon | 2002-08-20 ~ 2003-10-31 |
David M Lans | 838 Pelhamdale Ave, New Rochelle, NY 10801-1032 | Physician/surgeon | ~ |
David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
Please comment or provide details below to improve the information on DAVID A KLOSS.
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).