ROBERTA L KLINE MD (Credential# 554367) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.
ROBERTA L KLINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036776. The credential type is physician/surgeon. The effective date is September 1, 2016. The expiration date is August 31, 2017. The business address is 2713 Nublado Court, Santa Fe, NM 87505. The current status is inactive.
| Licensee Name | ROBERTA L KLINE MD |
| Credential ID | 554367 |
| Credential Number | 1.036776 |
| Credential Type | Physician/Surgeon |
| Business Address |
2713 Nublado Court Santa Fe NM 87505 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-04-09 |
| Effective Date | 2016-09-01 |
| Expiration Date | 2017-08-31 |
| Refresh Date | 2017-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 196346 | CSP.0026942 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE | |
| 536056 | CSP.0045676 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-06-23 | 2009-06-23 - 2011-02-28 | INACTIVE |
| Street Address | 2713 Nublado Court |
| City | Santa Fe |
| State | NM |
| Zip Code | 87505 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Morten Olrik | 1000 Cordova Place, Santa Fe, NM 87505 | Architect | 2019-08-01 ~ 2020-07-31 |
| Jean P Cimabue | 814 Camino Del Monte Rey, Santa Fe, NM 87505 | Physical Therapist | 2016-10-01 ~ 2017-09-30 |
| Darcine Erin Miller | 601 W San Mateo Rd, Santa Fe, NM 87505 | Registered Nurse | 2015-10-01 ~ 2016-10-31 |
| Larry A Jones | Rt 7 Box Lj, Santa Fe, NM 87505 | Professional Engineer | 1989-02-08 ~ 1990-01-31 |
| Srinivas Velesetty | 2491 Sawmill Rd, Santa Fe, NM 87505 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
| Lindsay C Ballard | 334 Camino Cerrito, Santa Fe, NM 87505 | Emergency Medical Technician | 2011-04-02 ~ 2011-04-01 |
| Richard B Mccurdy | 122 E Alicante Rd, Santa Fe, NM 87505 | Architect | 2004-08-01 ~ 2005-07-31 |
| Rahina Friedman | 151-i, Santa Fe, NM 87505 | Massage Therapist | 1998-03-16 ~ 1999-05-31 |
| Anthony P Paceoni | 24 Camerada Rd, Santa Fe, NM 87505 | Hairdresser/cosmetician | 1996-01-24 ~ 1996-12-31 |
| Deborah J Barton | 130 Verano Loop, Santa Fe, NM 87505 | Massage Therapist | 1995-05-11 ~ 1996-05-31 |
| Find all Licenses in zip 87505 | |||
| City | Santa Fe |
| Zip Code | 87505 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Santa Fe |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Norman M Krause | 420 Kline Rd, Ithaca, NY 14850-2304 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| Roberta M Chiascione | Po Box 557, Yonkers, NY 10703 | Physician/surgeon | 2000-12-07 ~ 2001-10-31 |
| Roberta F Shapiro | 115 E 61st St Apt 10a, New York, NY 10065-8186 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Clinton G Weiman Md | 2 Roberta Lane, Greenwich, CT 06830 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
| Roberta L Lockhart | 321 Boston Post Rd, Milford, CT 06460-2574 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Roberta Moss Md | 38 Middlebrook Rd, West Hartford, CT 06119 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Roberta A Dilego | 81 Overlook Terrace, Hartford, CT 06106 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| Roberta Meltzer | 1598 E Main St, Torrington, CT 06790-3519 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Richard Kline · Kline Proprietorship | P O Box 14, Hawleyville, CT 06440 | Home Improvement Contractor | 2001-12-05 ~ 2002-11-30 |
| Kline Rostocil Construction Corporation | 9385 Hamilton Dr, Mentor, OH 44060-4559 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
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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).