COLLETTE M KEISE (Credential# 1191320) 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.
COLLETTE M KEISE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056338. 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 38 Carson Way, South Windsor, CT 06074. The current status is active.
| Licensee Name | COLLETTE M KEISE |
| Credential ID | 1191320 |
| Credential Number | CSP.0056338 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
38 Carson Way South Windsor CT 06074 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-10-30 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 622967 | 10.E54044 | Registered Nurse | 1991-09-03 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1183588 | 12.005596 | Advanced Practice Registered Nurse | 2013-10-23 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 38 CARSON WAY |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark A Keise | 38 Carson Way, South Windsor, CT 06074 | Real Estate Salesperson | 2004-09-30 ~ 2005-05-31 |
| Mark A. Keise | 38 Carson Way, South Windsor, CT 06074-1847 | Certified Public Accountant License | 2003-01-01 ~ 2003-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Collette Sr · Chippy Collette Bld | 11 Overlook Ave, Webster, MA 01570 | Home Improvement Contractor | ~ 1995-08-01 |
| Col Francis E Collette Auctioneer | 16 Collette Rd East, Stafford Springs, CT 06076 | Sterilization Permit for Bedding & Upholstered Furniture | 2001-05-01 ~ 2002-04-30 |
| Nathan Collette · Collette Remodeling | 44 Northwood Dr, Middlebury, CT 06762-1701 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Stephen L Collette · Collette Tile | 138 North St, Watertown, CT 06795 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| William J Collette II · Wjc Home Improvements | 28 Collette Road East, Stafford Springs, CT 06076 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| 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 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| 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 COLLETTE M KEISE.
| 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).