DARREN B KNIBUTAT
Physician/surgeon


Address: 317 Shakespeare Place, Waterloo, ON N2L2V3

DARREN B KNIBUTAT (Credential# 936563) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.

Business Overview

DARREN B KNIBUTAT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049080. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 317 Shakespeare Place, Waterloo, ON N2L2V3. The current status is active.

Basic Information

Licensee Name DARREN B KNIBUTAT
Credential ID 936563
Credential Number 1.049080
Credential Type Physician/Surgeon
Business Address 317 Shakespeare Place
Waterloo
ON N2L2V3
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2010-08-02
Effective Date 2019-09-01
Expiration Date 2020-08-31
Refresh Date 2019-09-04

Other licenses

ID Credential Code Credential Type Issue Term Status
446260 CSP.0039903 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-10-20 2011-03-01 - 2013-02-28 INACTIVE
772825 47.003151 Veterinarian 2006-03-02 2009-09-01 - 2010-08-31 INACTIVE

Office Location

Street Address 317 Shakespeare Place
City Waterloo
State ON
Zip Code N2L2V3

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Shannon L Duerr 5842 Applewood Drive, Waterloo, IA 50701 Registered Nurse 2020-07-01 ~ 2021-06-30
Kimberly A Bretwisch 1427 Rachael Ln, Waterloo, IL 62298-5574 Registered Nurse 2020-05-01 ~ 2021-04-30
Christopher H Mullen 305 Industrial Pkwy, Waterloo, IN 46793-9498 Professional Engineer 2020-02-06 ~ 2021-01-31
Martin L Piercey 198-55 Northfield Drive E, Waterloo, ON N2K3T6 Professional Engineer 2020-02-01 ~ 2021-01-31
Samuel Soltysiak 524 Barwick Crescent, Waterloo, ON N2K3P6 Home Improvement Salesperson 2018-12-21 ~ 2019-11-30
Pier Structural Engineering Corp 198-55 Northfield Drive East, Waterloo, ON N2K 3T6 Professional Engineering Corporation 2018-11-20 ~ 2019-11-19
Cyndi Leigh Lilleskov 1177 Bourland Ave, Waterloo, IA 50702 Registered Nurse 2019-11-19 ~ 2020-09-30
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Competitor

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City Waterloo
Zip Code N2L2V
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Waterloo

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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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