KEITH E. BARIBAULT
Physician/surgeon


Address: 2101 Climbing Ivy Dr, Tampa, FL 33618-1710

KEITH E. BARIBAULT (Credential# 919504) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2015. The license expiration date date is December 31, 2015. The license status is INACTIVE.

Business Overview

KEITH E. BARIBAULT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049121. The credential type is physician/surgeon. The effective date is January 1, 2015. The expiration date is December 31, 2015. The business address is 2101 Climbing Ivy Dr, Tampa, FL 33618-1710. The current status is inactive.

Basic Information

Licensee Name KEITH E. BARIBAULT
Credential ID 919504
Credential Number 1.049121
Credential Type Physician/Surgeon
Business Address 2101 Climbing Ivy Dr
Tampa
FL 33618-1710
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-08-16
Effective Date 2015-01-01
Expiration Date 2015-12-31
Refresh Date 2016-04-04

Office Location

Street Address 2101 CLIMBING IVY DR
City TAMPA
State FL
Zip Code 33618-1710

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jacqueline M Calla Del Solar 4204 Golf Club Lane, Tampa, FL 33618 Real Estate Salesperson 2019-06-12 ~ 2020-05-31
Ousia Pharmacy Corp 4343 Gunn Hwy, Tampa, FL 33618 Nonresident Pharmacy 2020-01-21 ~ 2020-08-31
Stephanie Torres 13697 Orange Sunset Drive, Tampa, FL 33618 Registered Nurse 2020-01-01 ~ 2020-12-31
Loureen Schwaber 13618 Greenfield Drive #401, Tampa, FL 33618 Real Estate Salesperson ~
Rinat Rene Tamames 16016 Saddle Creek Dr, Tampa, FL 33618 Registered Nurse 2019-12-01 ~ 2020-11-30
Michael J Orlosky Md 4230 Fairway Circle, Tampa, FL 33618 Physician/surgeon 2019-11-01 ~ 2020-10-31
Diane M Schreiber 3339 Handy Road, Tampa, FL 33618 Pharmacy Technician 2000-04-01 ~ 2001-03-31
Vijay G Setty 2236 Climbing Ivy Drive, Tampa, FL 33618 Resident Physician 2017-07-01 ~ 2021-06-30
Maureen Boggs 16118 Sandcrest Way, Tampa, FL 33618 Licensed Clinical Social Worker 2016-12-21 ~ 2017-05-31
Michael J Brennan 15103 Contoy Place, Tampa, FL 33618 Certified Public Accountant License 2007-01-01 ~ 2007-12-31
Find all Licenses in zip 33618

Competitor

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City TAMPA
Zip Code 33618
License Type Physician/Surgeon
License Type + County Physician/Surgeon + TAMPA

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Keith J Champney 17 Ewell Ave, Lexington, MA 02421 Physician/surgeon 1999-10-14 ~ 2000-08-31
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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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