KRISTIN A CARMODY MD (Credential# 562841) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 20, 2008. The license expiration date date is April 30, 2009. The license status is INACTIVE.
KRISTIN A CARMODY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045259. The credential type is physician/surgeon. The effective date is February 20, 2008. The expiration date is April 30, 2009. The business address is 45 Harding Avenue, Branford, CT 06405. The current status is inactive.
Licensee Name | KRISTIN A CARMODY MD |
Credential ID | 562841 |
Credential Number | 1.045259 |
Credential Type | Physician/Surgeon |
Business Address |
45 Harding Avenue Branford CT 06405 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2007-04-02 |
Effective Date | 2008-02-20 |
Expiration Date | 2009-04-30 |
Refresh Date | 2009-08-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
469309 | CSP.0041384 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-04-27 | 2008-03-01 - 2009-02-28 | INACTIVE |
Street Address | 45 HARDING AVENUE |
City | BRANFORD |
State | CT |
Zip Code | 06405 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marion H Daszuta | 45 Harding Avenue, Branford, CT 06405 | Notary Public Appointment | 1996-11-01 ~ 2001-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
Find all Licenses in zip 06405 |
City | BRANFORD |
Zip Code | 06405 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRANFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kristin Elias | 166 E 61st St Apt 11f, New York, NY 10065-8522 | Physician/surgeon | ~ |
Kristin I Welch Md | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kristin D Mcgregor Md | 57 Jolley Dr, Bloomfield, CT 06002-3062 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Kristin E Harkin Md | 5 Echo Bay Dr, New Rochelle, NY 10805-3302 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kristin M Dean | 1106 2nd St # 342, Encinitas, CA 92024-5008 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Kristin D Oliveira | Po Box 208062, New Haven, CT 06520-8062 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kristin Bresnan | 360 3rd Street Ste 425, San Francisco, CA 94107 | Physician/surgeon | 2020-02-29 ~ 2021-02-28 |
Kristin Le Saxena | Po Box 34457, Omaha, NE 68134-0457 | Physician/surgeon | 2020-04-13 ~ 2021-02-28 |
Kristin L Casasanta | 7 Cartway Ln E, Bedford, NY 10506-1538 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Kristin A Keefe | 1 Apple Valley Dr, Sharon, MA 02067-3301 | Physician/surgeon | 2002-02-04 ~ 2002-11-30 |
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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).