KIM M WHITEHURST (Credential# 742406) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 20, 2008. The license expiration date date is October 31, 2009. The license status is INACTIVE.
KIM M WHITEHURST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000657. The credential type is physician assistant. The effective date is August 20, 2008. The expiration date is October 31, 2009. The business address is 589 11th Street, Brooklyn, NY 11215. The current status is inactive.
| Licensee Name | KIM M WHITEHURST |
| Credential ID | 742406 |
| Credential Number | 23.000657 |
| Credential Type | Physician Assistant |
| Business Address |
589 11th Street Brooklyn NY 11215 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-05-09 |
| Effective Date | 2008-08-20 |
| Expiration Date | 2009-10-31 |
| Refresh Date | 2010-03-12 |
| Street Address | 589 11TH STREET |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11215 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald V Didonno | 694 Tenth St, Brooklyn, NY 11215 | Architect | 2020-08-01 ~ 2021-07-31 |
| Richard Jonathon Furman · Furman & Furman Architects PC | 259 21st Street, Brooklyn, NY 11215 | Architect | 2020-08-01 ~ 2021-07-31 |
| Daniel G Markiewicz | 466 15th Street, Brooklyn, NY 11215 | Architect | 2020-08-01 ~ 2021-07-31 |
| Elaine M Kosik | 373 6th Street, Brooklyn, NY 11215 | Veterinarian | 2020-06-01 ~ 2021-05-31 |
| Deborah Neill Mccavitt | 553 10th Street, Apt 1, Brooklyn, NY 11215 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Kylie E O'connor | 262 12th St, Brooklyn, NY 11215 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Anju Nellissery | 182 Garfield Place Apt 5, Brooklyn, NY 11215 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Richard Colacino | 304 7th Avenue, Brooklyn, NY 11215 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Beverly Woytowich | 240 Sixth Ave, Brooklyn, NY 11215 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Yurintzy Estrada | 442 8th Street, Brooklyn, NY 11215 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 11215 | |||
| City | BROOKLYN |
| Zip Code | 11215 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Kathleen C Langley | 200 Whitehurst Way, Columbia, SC 29229-8567 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Kathryn E Whitehurst | 745 Wintergreen Cir, Greentown, PA 18426 | Physical Therapist | 1998-07-20 ~ 1999-07-31 |
| Amy K Bessire | 10010 Whitehurst, Dallas, TX 75243 | Dental Hygienist | 1992-03-24 ~ 1993-03-31 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| William R Whitehurst | 40 Oxford Pl, Southport, CT 06890-1438 | Real Estate Salesperson | 2008-06-23 ~ 2009-05-31 |
| Georgiana E Whitehurst | 40 Oxford Pl, Southport, CT 06890-1438 | Real Estate Salesperson | 2008-06-23 ~ 2009-05-31 |
| Dawn R Humphreys | 5190 Whitehurst Ln, Crestview, FL 32536-4275 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Norman Whitehurst | 452 Witches Rock Rd, Bristol, CT 06010-7195 | Emergency Medical Technician | 2019-07-01 ~ 2022-06-30 |
| Kathleen A Whitehurst | 206 N Mountain Rd, Copake Falls, NY 12517-5300 | Registered Nurse - Temporary | 2011-08-09 ~ 2011-12-07 |
Please comment or provide details below to improve the information on KIM M WHITEHURST.
| 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).