SHERRY L KROLL MD (Credential# 554308) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
SHERRY L KROLL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036717. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 584 Norwich Road, Plainfield, CT 06374-2061. The current status is active.
Licensee Name | SHERRY L KROLL MD |
Business Name | MEDICAL CENTER OF NORTHEAST CT |
Credential ID | 554308 |
Credential Number | 1.036717 |
Credential Type | Physician/Surgeon |
Business Address |
584 Norwich Road Plainfield CT 06374-2061 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1998-03-20 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
195027 | CSP.0026639 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 584 Norwich Road |
City | PLAINFIELD |
State | CT |
Zip Code | 06374-2061 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kimberly A Schroth | 21 Lovers Ln, Plainfield, CT 06374 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Amy E Therrien | 416 Starkweather Road, Plainfield, CT 06374 | Real Estate Salesperson | ~ |
Janis Mcmaster | 262 Pickett Rd, Plainfield, CT 06374 | Respiratory Care Practitioner | 2020-07-01 ~ 2021-06-30 |
Todd Lepine | 9 Lori Drive, Plainfield, CT 06374 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
Claire R Desrosiers | 36 Toper Road, Plainfield, CT 06374 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Bakers Dozen of Plainfield LLC · Bakers Dozen of Plnfld Db | 767 Norwich Rd, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
Kristen Malbaurn | 144 Plainfield Pike, Plainfield, CT 06374 | Medication Administration Certification | 2018-06-18 ~ 2020-06-17 |
Subway 56447 | 1-395 Plainfield Service Pza Sb, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
Subway 56446 | 1-395 Plainfield Service Plaza N B, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
Josephine A Maben | 24 North Street, Plainfield, CT 06374 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06374 |
City | PLAINFIELD |
Zip Code | 06374 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PLAINFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cynthia F Mann Md · Spring Glen Medical Center | Whitney Pediatrics/northeast Medical Group, Hamden, CT 06518 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Basf Corporation- Northeast Distribution Center | 175 Raritan Center Pkwy, Edison, NJ 08837-3650 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2016-07-01 ~ 2017-06-30 |
Douglas J Kroll Md | 22 Upper Main St, Sharon, CT 06069 | Physician/surgeon | 2007-10-31 ~ 2008-06-11 |
Northeast Kitchen and Flooring Center LLC | 2949 Hartford Ave Ste 5, Johnston, RI 02919-1633 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Elizabeth K Allard | Northeast Primary Care, Waterford, CT 06385 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Physician Services of Northeast Connecticut LLC · Franklin Home Health Inc | 6 S Main St, Putnam, CT 06260-1906 | Sterilization Permit for Bedding & Upholstered Furniture | 2013-05-01 ~ 2014-04-30 |
Sam T Donta | Va Medical Center, Boston, MA 02130 | Physician/surgeon | 1992-09-24 ~ 1993-08-31 |
Sherry L Lee | 24 Kelly Dr, Marlton, NJ 08053-9701 | Physician/surgeon | 2017-07-25 ~ 2018-04-30 |
Sherry Hui Yu | 40 Temple St Ste 5a, New Haven, CT 06510-2745 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Gregory Matthew Rose | 490 Northeast 5th Avenue, Fort Lauderdale, FL 33301 | Physician/surgeon | 2019-09-27 ~ 2020-08-31 |
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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).