KORTNEY R RIBBECK PA-C
Physician Assistant


Address: 130 Miller Street, New Britain, CT 06053

KORTNEY R RIBBECK PA-C (Credential# 743730) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 28, 2007. The license expiration date date is April 30, 2008. The license status is INACTIVE.

Business Overview

KORTNEY R RIBBECK PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001981. The credential type is physician assistant. The effective date is September 28, 2007. The expiration date is April 30, 2008. The business address is 130 Miller Street, New Britain, CT 06053. The current status is inactive.

Basic Information

Licensee Name KORTNEY R RIBBECK PA-C
Credential ID 743730
Credential Number 23.001981
Credential Type Physician Assistant
Business Address 130 Miller Street
New Britain
CT 06053
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-09-28
Effective Date 2007-09-28
Expiration Date 2008-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
481357 CSP.0042554 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-10-01 2007-10-01 - 2008-02-29 INACTIVE

Office Location

Street Address 130 MILLER STREET
City NEW BRITAIN
State CT
Zip Code 06053

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Competitor

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City NEW BRITAIN
Zip Code 06053
License Type Physician Assistant
License Type + County Physician Assistant + NEW BRITAIN

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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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