KAREN S FOUNTAIN MD (Credential# 565188) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.
KAREN S FOUNTAIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047606. The credential type is physician/surgeon. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 408 Hampton Ave, Greenville, SC 29601-1439. The current status is inactive.
| Licensee Name | KAREN S FOUNTAIN MD |
| Credential ID | 565188 |
| Credential Number | 1.047606 |
| Credential Type | Physician/Surgeon |
| Business Address |
408 Hampton Ave Greenville SC 29601-1439 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-04-22 |
| Effective Date | 2016-11-01 |
| Expiration Date | 2017-10-31 |
| Refresh Date | 2018-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 532046 | CSP.0045482 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-05-08 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 408 HAMPTON AVE |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-1439 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Devita & Associates Inc | 1150 E. Washington St., Greenville, SC 29601 | Professional Engineering Corporation | 2020-04-24 ~ 2021-04-23 |
| Vicki Harden-taylor | 101 Reedy View Drive, Greenville, SC 29601 | Advanced Practice Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Christian Blind Mission International | 450 East Park Avenue, Greenville, SC 29601 | Public Charity-exempt From Financial Requirements | ~ |
| Barbara J Anderson | 209 Mcdaniel Greene, Greenville, SC 29601 | Certified Public Accountant License | 2014-02-18 ~ 2014-12-31 |
| Suitt Construction Company Inc | 201 E Mcbee Ave Ste 300, Greenville, SC 29601 | Major Contractor | 2006-07-01 ~ 2007-06-30 |
| Insignia Management Corporation · Hildegarde F Champion | One Insignia Financial Plaza, Greenville, SC 29601 | Real Estate Broker | 1996-06-18 ~ 1997-05-31 |
| Sab Enterprises LLC | 114 Williams Streeet Ste C, Greenville, SC 29601 | Out of State Shipper Liquor | ~ |
| Chartspan Medical Technologies, Inc. | 2 N Main St, Greenville, SC 29601 | Securities - Exemptions | 2020-04-03 ~ |
| Graybul Antioch Lp | 200 East Broad Street, Greenville, SC 29601 | Securities - Exemptions | 2020-02-03 ~ |
| Graybull Leland Lp | 200 East Broad Street, Greenville, SC 29601 | Securities - Exemptions | 2019-12-12 ~ |
| Find all Licenses in zip 29601 | |||
| City | GREENVILLE |
| Zip Code | 29601 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GREENVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Loretta G Que | 167 Fountain St, New Haven, CT 06515 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Larry E. Jacobs | 234 Fountain St, New Haven, CT 06515-1915 | Physician/surgeon | 1985-07-29 ~ 1987-12-31 |
| Karin E Finberg | 412 Fountain St Apt B, New Haven, CT 06515-2627 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tracie D Harvey | 149 Fountain St #11, New Haven, CT 06515 | Physician/surgeon | 1998-01-08 ~ 1999-01-31 |
| Thomas J Weber | 167 Fountain St, New Haven, CT 06515 | Physician/surgeon | 1992-08-26 ~ 1993-08-31 |
| Reginald A Hoffler Md | 360 Fountain St Apt 35, New Haven, CT 06515-2611 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Robert M Glassman | 226 Fountain St Apt 501, New Haven, CT 06515-1962 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Elizabeth R Wahl | 360 Fountain St Apt 20, New Haven, CT 06515-2610 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Sucharita Paul Md | 11b Fountain St, Mashpee, MA 02649 | Physician/surgeon | 2008-09-10 ~ 2009-10-31 |
| Custodio R Borgueta | 123 Fountain St # A5, New Haven, CT 06515-1917 | Physician/surgeon | 1983-02-23 ~ 1983-08-31 |
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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).