KIMBERLY D MARTIN (Credential# 884204) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 26, 2009. The license expiration date date is July 9, 2010. The license status is INACTIVE.
KIMBERLY D MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048019. The credential type is physician/surgeon. The effective date is August 26, 2009. The expiration date is July 9, 2010. The business address is 477 George St, New Haven, CT 06511-5403. The current status is inactive.
Licensee Name | KIMBERLY D MARTIN |
Credential ID | 884204 |
Credential Number | 1.048019 |
Credential Type | Physician/Surgeon |
Business Address |
477 George St New Haven CT 06511-5403 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2009-07-28 |
Effective Date | 2009-08-26 |
Expiration Date | 2010-07-09 |
Refresh Date | 2010-07-09 |
Street Address | 477 GEORGE ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-5403 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dan F Savage | 477 George St, New Haven, CT 06511-5403 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Charles Martin IIi | 477 George St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-10-05 ~ 2011-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Chelsey H Freed | 479 George St, New Haven, CT 06511-5403 | Physical Therapist | 2017-03-01 ~ 2018-02-28 |
Matthew H Short | 481 George St, New Haven, CT 06511-5403 | Real Estate Salesperson | 2019-07-09 ~ 2020-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kimberly Farrell | 34 Purchase St, Rye, NY 10580 | Physician/surgeon | ~ |
Kimberly K Whitesell | 22 Eld St, New Haven, CT 06511 | Physician/surgeon | 1995-06-28 ~ 1996-06-30 |
Martin B. Leon | 1 Spector Rd, Woodbridge, CT 06525-1730 | Physician/surgeon | 1977-05-19 ~ 1982-05-31 |
David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Martin E Bur | 24 Warner Street, Belchertown, MA 01007 | Physician/surgeon | ~ |
Martin Bauermeister | 17 Bay St, Wickford, RI 02852 | Physician/surgeon | 2000-02-15 ~ 2000-11-30 |
Martin Maimon | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Kimberly L Johung | 7 Partridge Ln, Branford, CT 06405-2864 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Priya Rastogi Md | 6 Kimberly Dr, Huntington, CT 06484-5773 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
Kimberly J Henderson | 24 State Rte. 727, Ansonia, CT 06401 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).