KIMBERLY M FISK
Physician Assistant


Address: 165 Old Lane Road, Cheshire, CT 06410

KIMBERLY M FISK (Credential# 743235) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 27, 2004. The license expiration date date is July 31, 2005. The license status is INACTIVE.

Business Overview

KIMBERLY M FISK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001486. The credential type is physician assistant. The effective date is July 27, 2004. The expiration date is July 31, 2005. The business address is 165 Old Lane Road, Cheshire, CT 06410. The current status is inactive.

Basic Information

Licensee Name KIMBERLY M FISK
Credential ID 743235
Credential Number 23.001486
Credential Type Physician Assistant
Business Address 165 Old Lane Road
Cheshire
CT 06410
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-06-24
Effective Date 2004-07-27
Expiration Date 2005-07-31
Refresh Date 2009-07-08

Office Location

Street Address 165 Old Lane Road
City Cheshire
State CT
Zip Code 06410

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mr B's · Bimonte's Pizza Castle 155 Highland Ave, Cheshire, CT 06410 Bakery 2020-07-01 ~ 2021-06-30
Traci L Bonassar 452 Castle Glenn, Cheshire, CT 06410 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Faith H Morico · Hennessey 177 Wallingford Rd, Cheshire, CT 06410 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Renee D Kane 40 Willow St, Cheshire, CT 06410 Advanced Practice Registered Nurse 2020-08-01 ~ 2021-07-31
Kara Capuano 20 Renee Court, Cheshire, CT 06410 Registered Nurse 2020-07-01 ~ 2021-06-30
Eugenia A Marquez 22 Currier Way, Cheshire, CT 06410 Radiographer 2020-07-01 ~ 2021-06-30
Mahnaz M Emamian 471 West Main St, Cheshire, CT 06410 Esthetician ~
Margarita A. Norris 302 Highland Avenue, Cheshire, CT 06410 Registered Nurse 2020-08-01 ~ 2021-07-31
Wendell D Wallace Juedes 545 Country Club Rd, Cheshire, CT 06410 Podiatrist 2020-04-01 ~ 2021-03-31
Hyunjung An 55 Moneta Ln., Cheshire, CT 06410 Acupuncturist ~
Find all Licenses in zip 06410

Competitor

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City Cheshire
Zip Code 06410
License Type Physician Assistant
License Type + County Physician Assistant + Cheshire

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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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