DOMINIQUE KALIL MD (Credential# 1030067) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
DOMINIQUE KALIL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051254. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 71 Haynes St Rm 1209, Manchester, CT 06040-4131. The current status is inactive.
| Licensee Name | DOMINIQUE KALIL MD |
| Credential ID | 1030067 |
| Credential Number | CSP.0051254 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
71 Haynes St Rm 1209 Manchester CT 06040-4131 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-08-23 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1005087 | 1.050239 | Physician/Surgeon | 2011-08-17 | 2013-07-01 - 2014-06-30 | INACTIVE |
| Street Address | 71 HAYNES ST RM 1209 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4131 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keri Lee Pinnock | 353 Main Street, Manchester, CT 06040-4131 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tahir Mohammad Chaudhry | 71 Haynes St, Manchester, CT 06040-4131 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Tracey L Carpenter | 71 Haynes St, Manchester, CT 06040-4131 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Megan T. Cummings | 71 Haynes St, Manchester, CT 06040-4131 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Paul Allen Schwiger Jr | 71 Haynes St, Manchester, CT 06040-4131 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mark Gerard Amirault | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
| Amanda Lu | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
| Mehdi Momen | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-20 ~ 2021-02-28 |
| Minoo Hollis | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-03-21 ~ 2021-02-28 |
| Prospect Manchester Hospital | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06040-4131 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominique Cartica | 40 Old Ridgebury Rd Ste 101, Danbury, CT 06810-5119 | Controlled Substance Registration for Practitioner | 2019-06-04 ~ 2021-02-28 |
| Dominique Dorsainvil | 20 York St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sophia Dominique Delpe | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-09 ~ 2019-02-28 |
| Dominique M Rouvet | 2119 Aldah Drive, Tucker, GA 30084 | Controlled Substance Registration for Practitioner | 1993-04-01 ~ 1995-04-01 |
| Kalil Bottling Co/sw Canning & Pkg | 931 South Highland Ave, Tucson, AZ 85719 | Non-alcoholic Beverage & Water Bottlers | 2008-07-01 ~ 2009-06-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).