KATRINA VANDER BIEZEN DO (Credential# 934909) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 10, 2010. The license expiration date date is February 28, 2011. The license status is INACTIVE.
KATRINA VANDER BIEZEN DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047747. The credential type is controlled substance registration for practitioner. The effective date is June 10, 2010. The expiration date is February 28, 2011. The business address is 12125 Fountainbrook Blvd, Orlando, FL 32825-7018. The current status is inactive.
| Licensee Name | KATRINA VANDER BIEZEN DO |
| Credential ID | 934909 |
| Credential Number | CSP.0047747 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12125 Fountainbrook Blvd Orlando FL 32825-7018 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-06-10 |
| Effective Date | 2010-06-10 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 916280 | 1.048685-DO | Physician/Surgeon | 2010-04-27 | 2010-04-27 - 2010-10-31 | INACTIVE |
| Street Address | 12125 FOUNTAINBROOK BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32825-7018 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne N Symecko | 1835 Branchwater Trail, Orlando, FL 32825 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Johanna Ortiz | 41 N Palermo Ave, Orlando, FL 32825 | Real Estate Salesperson | 2007-06-01 ~ 2008-05-31 |
| Ruthmay R Devilla | 2239 Churchill Downs Cir, Orlando, FL 32825 | Physical Therapist | 2016-05-05 ~ 2016-08-31 |
| Roger A Hill · Tsc Engr Inc | 125 Cinnamon Dr, Orlando, FL 32825 | Professional Engineer & Land Surveyor | 1993-12-21 ~ 1995-01-31 |
| Jean M Pietrafeso | 8215-43 Sun Spring Circle, Orlando, FL 32825 | Hairdresser/cosmetician | 2012-07-01 ~ 2014-06-30 |
| Zuleika Colon | 11172 Sylvan Pond Circle, Orlando, FL 32825 | Hairdresser/cosmetician | 2008-11-21 ~ 2010-11-30 |
| William Hayes Harmon · Sverdrup Crss | 8523 Caracas Ave, Orlando, FL 32825 | Architect | 2000-08-04 ~ 2001-07-31 |
| Christina M Ramos | 303 S Deerwood Ave, Orlando, FL 32825 | Registered Nurse | 2008-09-23 ~ 2009-06-30 |
| Ibrahim I Gusau | 1914 Blue Fox Ct, Orlando, FL 32825 | Registered Nurse | 2003-06-02 ~ 2004-07-31 |
| Barbara English | 8157 Robalo Drive, Orlando, FL 32825 | Licensed Practical Nurse | 1992-08-26 ~ 1993-07-31 |
| Find all Licenses in zip 32825 | |||
| City | ORLANDO |
| Zip Code | 32825 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ORLANDO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carin M Vander Klok Dvm | #1b Hill Ct, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Scott A Vander Vennet Md | 2 Ivy Brook Rd Ste 125, Shelton, CT 06484-6416 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven J Vander Naalt | 159 Yordy Rd, Morton, IL 61550-2929 | Controlled Substance Registration for Practitioner | 2015-04-22 ~ 2017-02-28 |
| Katrina E Monahan | 159 Irving St, Manchester, CT 06042-3039 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katrina L Furey | 147 Durham Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katrina L Kontaxis | 79 Towne House Rd, Hamden, CT 06514-2103 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Katrina Bezak | 380 Mather St Apt 4010, Hamden, CT 06514-3159 | Controlled Substance Registration for Practitioner | 2019-07-12 ~ 2021-02-28 |
| Katrina Loh | 1006 Falls View Rd, Manchester, CT 06042-7124 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katrina Morene Best | 605 W Madison St Apt 3-2112, Chicago, IL 60661-2410 | Controlled Substance Registration for Practitioner | 2017-06-14 ~ 2019-02-28 |
| Katrina D Kozlin | 11721 Midhurst Dr, Knoxville, TN 37934-4771 | Controlled Substance Registration for Practitioner | 2013-06-06 ~ 2015-02-28 |
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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).