KATHLEEN M JOHNSTON
Controlled Substance Registration for Practitioner


Address: 53 Tomaquag Valley Rd, Bradford, RI 02808-1722

KATHLEEN M JOHNSTON (Credential# 1083484) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

KATHLEEN M JOHNSTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053218. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 53 Tomaquag Valley Rd, Bradford, RI 02808-1722. The current status is lapsed.

Basic Information

Licensee Name KATHLEEN M JOHNSTON
Credential ID 1083484
Credential Number CSP.0053218
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 53 Tomaquag Valley Rd
Bradford
RI 02808-1722
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2012-07-18
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1077633 23.002780 Physician Assistant 2012-07-09 2017-08-01 - 2018-07-31 INACTIVE

Office Location

Street Address 53 TOMAQUAG VALLEY RD
City BRADFORD
State RI
Zip Code 02808-1722

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Ashley V Joia 350 Bradford Rd, Bradford, RI 02808 Radiographer 2020-08-01 ~ 2021-07-31
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Seth A Beil 170 Ashaway Rd, Bradford, RI 02808 Real Estate Salesperson 2015-06-01 ~ 2016-05-31
Mary E Brower 29 Burdickville Road, Bradford, RI 02808 Registered Nurse 2020-05-01 ~ 2021-04-30
Kerye Lynn Sundell P O Box 176, Bradford, RI 02808 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Yvonne Marie-nico Thomas 24 Vars Lane, Bradford, RI 02808 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Danya Jean Dubeau 9 Kugler Lane, Bradford, RI 02808 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Jackie A Odea 49 N. Main St., Bradford, RI 02808 Casino Class I Employee 2019-12-11 ~ 2020-10-31
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Competitor

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City BRADFORD
Zip Code 02808
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRADFORD

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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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