SHIRINE N NIEMANN MD (Credential# 564122) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
SHIRINE N NIEMANN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046540. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 5 Southgate, Avon, CT 06001. The current status is active.
Licensee Name | SHIRINE N NIEMANN MD |
Credential ID | 564122 |
Credential Number | 1.046540 |
Credential Type | Physician/Surgeon |
Business Address |
5 Southgate Avon CT 06001 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-05-16 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-06-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
504316 | CSP.0043593 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-05-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 5 SOUTHGATE |
City | AVON |
State | CT |
Zip Code | 06001 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Christopher J Niemann | 5 Southgate, Avon, CT 06001-3195 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06001 |
City | AVON |
Zip Code | 06001 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + AVON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Claus P Niemann | 1177 Cardenas Se, Albuqurque, NM 87108 | Physician/surgeon | 1992-01-23 ~ 1993-01-31 |
National Niemann-pick Disease Foundation Inc | 401 Madison Ave Ste B, Fort Atkinson, WI 53538-1414 | Public Charity | 2015-12-01 ~ 2016-11-30 |
Shirine P Dabiri | 248 Inverness Lane, Longmeadow, MA 01106 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Christopher J Niemann | 5 Southgate, Avon, CT 06001-3195 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Kimberly J Niemann | 247a Hubbard St, Glastonbury, CT 06033-3061 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
C Niemann | 267 Somers Road, Ellington, CT 06029 | Notary Public Appointment | 2019-11-01 ~ 2024-10-31 |
Kimberly J Niemann | 3 Viewside Dr, Ellington, CT 06029 | Notary Public Appointment | 1980-12-17 ~ 1985-03-31 |
Joeel N Niemann | 70 Goodwin Road #2, Canterbury, CT 06331 | Real Estate Salesperson | 2012-06-01 ~ 2013-05-31 |
Jamie L Niemann | 95 Beverly Road, West Hartford, CT 06119 | Registered Nurse | 2001-11-27 ~ 2002-12-31 |
Kathy Niemann | 2673 Chimney Springs Dr, Marietta, GA 30062 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
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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).