KIM E TRIPP (Credential# 1185619) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KIM E TRIPP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056147. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 696 Pooles Hill Rd, Ancramdale, NY 12503-5223. The current status is active.
| Licensee Name | KIM E TRIPP |
| Credential ID | 1185619 |
| Credential Number | CSP.0056147 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
696 Pooles Hill Rd Ancramdale NY 12503-5223 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-09-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1153489 | 1.052234-DO | Physician/Surgeon | 2013-07-16 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 696 POOLES HILL RD |
| City | ANCRAMDALE |
| State | NY |
| Zip Code | 12503-5223 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean Marie Brant | County Route 8, Ancramdale, NY 12503 | Notary Public Appointment | 2015-06-01 ~ 2020-05-31 |
| Autumn M Cockcroft | 146 Over Mountain Road, Ancramdale, NY 12503 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Mark E Henderson | 346 Cty Rt 3, Ancramdale, NY 12503 | Veterinarian | 2020-01-01 ~ 2020-12-31 |
| Marlene Duncan | 54 Woods Dr, Ancramdale, NY 12503 | Pharmacy Technician | 2008-04-01 ~ 2009-03-31 |
| Mindy L Miller | 207 Rothvoss Lane, Ancramdale, NY 12503 | Pharmacy Technician | 2000-04-01 ~ 2001-03-31 |
| Ronnybrook Farm Dairy | 310 Prospect Hill Rd, Ancramdale, NY 12503 | Milk Dealer | 2018-07-01 ~ 2020-06-30 |
| Robert A Roth | 22 Elm Lane, Ancramdale, NY 12503 | Pharmacist | 2011-02-01 ~ 2012-01-31 |
| Pamela J Waite | 270 Crest Lane, Ancramdale, NY 12503 | Registered Nurse | 2010-03-01 ~ 2011-02-28 |
| Gregory D Kuttles | 11 Rockefeller Road, Ancramdale, NY 12503 | Registered Nurse | 2009-06-05 ~ 2010-06-30 |
| Kimberly Kokoska | Po Box 161, Ancramdale, NY 12503 | Registered Nurse | 2013-01-01 ~ 2013-12-31 |
| Find all Licenses in zip 12503 | |||
| City | ANCRAMDALE |
| Zip Code | 12503 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ANCRAMDALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Francine D York | 134 Tripp Rd, Ellington, CT 06029-3642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael R Sharon | 111 Tripp Rd, Ellington, CT 06029-3640 | Controlled Substance Registration for Practitioner | 2019-10-27 ~ 2021-02-28 |
| Ad Tripp Company | 91 Woodchuck Hill Rd, Canterbury, CT 06331 | Home Improvement Contractor | ~ 1995-06-01 |
| 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 |
| A D Tripp Co | 6 Mathewson St, Jewett City, CT 06351 | Operator of Weighing & Measuring Devices | 1998-08-01 ~ 1999-07-31 |
| Kevin J Johnson · A D Tripp Co | 7 Noble Hill Rd, Bozrah, CT 06334 | Home Improvement Contractor | ~ 1994-12-01 |
| Scott B Tripp · Tripp & Sons Tree Service | 62 Saint John Rd, Jewett City, CT 06351-2508 | Home Improvement Contractor | 2015-10-22 ~ 2015-11-30 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KIM E TRIPP.
| 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).