ELIKEM KPENU (Credential# 563233) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 14, 2008. The license expiration date date is November 30, 2009. The license status is INACTIVE.
ELIKEM KPENU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045651. The credential type is physician/surgeon. The effective date is November 14, 2008. The expiration date is November 30, 2009. The business address is 3803 Damascus Dr, Saint Joseph, MO 64506-2093. The current status is inactive.
| Licensee Name | ELIKEM KPENU |
| Credential ID | 563233 |
| Credential Number | 1.045651 |
| Credential Type | Physician/Surgeon |
| Business Address |
3803 Damascus Dr Saint Joseph MO 64506-2093 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-07-11 |
| Effective Date | 2008-11-14 |
| Expiration Date | 2009-11-30 |
| Refresh Date | 2010-03-16 |
| Street Address | 3803 DAMASCUS DR |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-2093 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William J Jenkins | 2712 Se Trail, St Joseph, MO 64506 | Registered Nurse | 2002-11-25 ~ 2003-07-31 |
| Jana L Albright | 2209 Elephant Tr, St Joseph, MO 64506 | Registered Nurse | 1981-01-01 ~ 1994-03-31 |
| Jenny L Roberts · Grabitz | 4809 North Lakewood Drive, St. Joseph, MO 64506 | Registered Nurse | 2001-01-22 ~ 2002-03-31 |
| Benjamin Weitzman | 215 Ryan's Way, St Joseph, MO 64506 | Pharmacist | 1800-12-27 ~ 1987-03-31 |
| Rajesh Rohilla | Saint Joseph, MO 64506 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
| Katherine J Moles | 2611 Ashland Ave, Saint Joseph, MO 64506-1940 | Registered Nurse | 2010-11-01 ~ 2011-11-30 |
| Janice A Minter | 3702 Durham Ct, Saint Joseph, MO 64506-5042 | Registered Nurse | 2017-07-01 ~ 2018-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clipper Distributing Co LLC | 1302 S 59th St, Saint Joseph, MO 64507-8124 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Anchor Drug & Diabetic LLC | 3515 Lakeshore Dr, Saint Joseph, MI 49085 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Vedco Incorporated | 5503 Corporate Dr, Saint Joseph, MO 64507-7752 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Exel Inc · Dhl Supply Chain (usa) | 5920 Corporate Dr, Saint Joseph, MO 64507-7770 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Kellie N. Ruhl | 516 Howard Ave, Saint Joseph, MI 49085-1625 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Caitlyn Janine Taylor | 3515 Pacific Street, Saint Joseph, MO 64507 | Master's Level Social Worker | 2019-07-01 ~ 2020-07-31 |
| Carol Ann Wilson | 4501 Iris Ave, Saint Joseph, MO 64503-5103 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Boehringer Ingelheim Vetmedica Inc | 5701 Providence Hill Dr, Saint Joseph, MO 64503 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2019-07-01 ~ 2020-06-30 |
| Brittany A Smith | 216 N 4th St Apt 203, Saint Joseph, MO 64501-1758 | Hairdresser/cosmetician | 2018-08-14 ~ 2020-04-30 |
| College of Saint Benedict | 37 College Ave S, Saint Joseph, MN 56374-2001 | Public Charity-exempt From Financial Requirements | 2013-04-01 ~ |
| Find all Licenses in SAINT JOSEPH | |||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAINT JOSEPH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on ELIKEM KPENU.
| 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).