DEBRA A SMITH (Credential# 557587) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DEBRA A SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040004-DO. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 9315 Springbrooke Circle, Louisville, KY 40241. The current status is active.
Licensee Name | DEBRA A SMITH |
Credential ID | 557587 |
Credential Number | 1.040004-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
9315 Springbrooke Circle Louisville KY 40241 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2001-11-19 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-05-18 |
Street Address | 9315 Springbrooke Circle |
City | Louisville |
State | KY |
Zip Code | 40241 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Uswm, LLC | 4441 Springdale Road, Louisville, KY 40241 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | ~ |
Lydia Faye Pearson | 7811 Wolfcreek Ct, Louisville, KY 40241 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Regina Kay Rush | 4434 Buttonbush Glen Dr, Louisville, KY 40241 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Gabriel Scott | 9914 Shining Willow Drive, Louisville, KY 40241 | Registered Nurse - Temporary | 2018-12-12 ~ 2019-04-11 |
Carol A Anderson · Patrick Carey | 6661 Northridge Circle, Louisville, KY 40241 | Real Estate Salesperson | 1996-06-01 ~ 1997-05-31 |
Anna E Fields | 6714 Crossways Place, Louisville, KY 40241 | Registered Nurse | 2015-06-01 ~ 2016-05-31 |
Thangam Rangaswamy · Rangaswamy and Assocs | 10404 Scarlet Oaks Ct, Louisville, KY 40241 | Professional Engineer | 1990-02-01 ~ 1991-01-31 |
Debra L Rankin-nall | 4200 Wood Stone Way, Louisville, KY 40241 | Registered Nurse - Temporary | 2014-12-09 ~ 2015-04-07 |
Mark S Jacobson | 10601 Shadow Ridge Lane, Louisville, KY 40241 | Licensed Clinical Social Worker | 2008-10-09 ~ 2009-07-31 |
Marilyn Dione Morris | 10724 Hite Creek Rd, Louisville, KY 40241-1784 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
Find all Licenses in zip 40241 |
City | Louisville |
Zip Code | 40241 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Louisville |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Debra Ann Smith Memorial Fund | 9a Robert Drive, Columbia, CT 06237 | Public Charity-exempt From Financial Requirements | ~ |
Debra A Petrucci | 86 Buckfield Ln, Greenwich, CT 06831-2643 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Debra Hopkins Md | Po Box 1473, Medina, TX 78055 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
Debra Hope Federer | Norwalk, CT 06056 | Physician/surgeon | 1984-01-03 ~ 1988-01-31 |
Debra J Forrest Md | 4 Adams Ln, West Hartford, CT 06117-2801 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Debra Nelson | 1818 S Eastern Ave, Las Vegas, NV 89106 | Physician/surgeon | 1992-03-24 ~ 1993-03-31 |
Debra Chew | 353 East 17th St, New York, NY 10003 | Physician/surgeon | 1981-01-01 ~ 1993-07-31 |
Debra A Pollack Md | 31 Staples Street, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Debra L Gerson | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
Debra A Alspector | 2885 Sanford Ave Sw, Grandville, MI 49418-1342 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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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).