HARRIS L KLEINKOPF
Podiatrist


Address: 79 Wawecus St., Norwich, CT 06360

HARRIS L KLEINKOPF (Credential# 699290) is licensed (Podiatrist) with Connecticut Department of Consumer Protection. The license effective date is September 12, 2007. The license expiration date date is September 30, 2008. The license status is INACTIVE.

Business Overview

HARRIS L KLEINKOPF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #19.0P0296. The credential type is podiatrist. The effective date is September 12, 2007. The expiration date is September 30, 2008. The business address is 79 Wawecus St., Norwich, CT 06360. The current status is inactive.

Basic Information

Licensee Name HARRIS L KLEINKOPF
Credential ID 699290
Credential Number 19.0P0296
Credential Type Podiatrist
Business Address 79 Wawecus St.
Norwich
CT 06360
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1981-09-16
Effective Date 2007-09-12
Expiration Date 2008-09-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
145835 CSP.0010418 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 79 WAWECUS ST.
City NORWICH
State CT
Zip Code 06360

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Competitor

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City NORWICH
Zip Code 06360
License Type Podiatrist
License Type + County Podiatrist + NORWICH

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Dataset Information

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).

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