KELLI J. BALDRICK (Credential# 975757) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.
KELLI J. BALDRICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049452. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is March 31, 2020. The business address is 1716 E Mcnair Dr, Tempe, AZ 85283-5000. The current status is active.
| Licensee Name | KELLI J. BALDRICK |
| Credential ID | 975757 |
| Credential Number | 1.049452 |
| Credential Type | Physician/Surgeon |
| Business Address |
1716 E Mcnair Dr Tempe AZ 85283-5000 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-01-19 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-03-31 |
| Refresh Date | 2019-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 982964 | CSP.0049576 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-01-31 | 2011-01-31 - 2013-02-28 | INACTIVE |
| Street Address | 1716 E MCNAIR DR |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-5000 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Meisenheimer | 6652 S La Rosa Dr, Tempe, AZ 85283 | Home Improvement Salesperson | 2020-01-03 ~ 2020-11-30 |
| James K Wright | 2042 E Redfield Rd, Tempe, AZ 85283 | Registered Nurse | 2017-08-01 ~ 2018-07-31 |
| Walgreens Mail Service | 8350 S River Pwy, Tempe, AZ 85283 | Wholesaler of Drugs, Cosmetics & Medical Devices | ~ |
| Lucie S Krueger | 6110 South College Ave., Tempe, AZ 85283 | Registered Nurse | 2008-09-29 ~ 2009-09-30 |
| Phuc Dau Phan | 905 W. Vaughn, Gilbert, AZ 85283 | Hairdresser/cosmetician | 2003-07-02 ~ 2004-04-30 |
| Amy D Alexander | 1171 E Vaughn St C, Tempe, AZ 85283 | Physical Therapist | 1995-08-07 ~ 1996-09-30 |
| Rainer M Doost | 1619 E Weathervane, Tempe, AZ 85283 | Psychologist | 1992-01-23 ~ 1992-12-31 |
| Jennifer E Fisher | 926 West Julie Drive, Tempe, AZ 85283 | Registered Nurse | 1995-09-27 ~ 1996-09-30 |
| Teresa P Mcbride | 967 E. Eveningstar Lane, Tempe, AZ 85283 | Naturopathic Physician | 2006-11-21 ~ 2007-04-30 |
| Robert T Driscoll | 629 W Magdalena Dr, Tempe, AZ 85283 | Electrical Unlimited Journeyperson | 2004-10-01 ~ 2005-09-30 |
| Find all Licenses in zip 85283 | |||
| City | TEMPE |
| Zip Code | 85283 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TEMPE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelli Harper | 17 Chase Street, Newton, MA 02459 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kelli Suzanne Buckner | 7750 Town Centre Drive, Broadview Heights, OH 44147 | Physician/surgeon | 2019-12-06 ~ 2020-11-30 |
| Kelli M Patterson | 691 Calle Margarita, Thousand Oaks, CA 91360-4849 | Physician Assistant | ~ |
| Kelli Megan Nicole Huth | 43 Chestnut St. #302, New Haven, CT 06511 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Kelli Shell | 9553 Us 15-501 South, Chapel Hill, NC 27514 | Physician Assistant | 1997-10-20 ~ 1998-12-31 |
| Kelli's Cakes & Sweet Treats | 2399 Main St, Stratford, CT 06615-5939 | Bakery | 2010-08-03 ~ 2011-06-30 |
| Kelli Myers Connecticut Elite Volleyball Camp, LLC | 211 Hillside Road, Storrs, CT | Youth Camp | 2004-06-29 ~ 2005-06-28 |
| La Crema Chardonnay Kelli Ann Vineyard Russian River Valley | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-06-19 ~ 2020-06-18 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
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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).