KATHLEEN R HEIM (Credential# 1204966) 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.
KATHLEEN R HEIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056663. 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 16 Old Mill Rd, Woodbridge, CT 06525. The current status is lapsed.
| Licensee Name | KATHLEEN R HEIM |
| Credential ID | 1204966 |
| Credential Number | CSP.0056663 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
16 Old Mill Rd Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2014-04-09 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1207833 | 1.052892 | Physician/Surgeon | 2014-03-28 | 2017-03-01 - 2018-02-28 | INACTIVE |
| Street Address | 16 Old Mill Rd |
| City | Woodbridge |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | Woodbridge |
| Zip Code | 06525 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Woodbridge |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brad A Heim Dmd | 36 Welles St, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen Thompson | 760 Mix Ave Apt 2e, Hamden, CT 06514-2210 | Controlled Substance Registration for Practitioner | 2019-11-15 ~ 2021-02-28 |
| Kathleen Moltz Md | 40 Second Ave #170, Waltham, MA 02154 | Controlled Substance Registration for Practitioner | 1995-12-12 ~ 1997-02-28 |
| Kathleen A. Ennis | 30 Orchard St, Cos Cob, CT 06807-2403 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen E Titus Pa | Po Box 650, Fiskdale, MA 01518 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kathleen M Thayer | P O Box 284, Colebrook, CT 06021 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kathleen L Smith Md | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kathleen Carey | 20 Stagecoach Rd, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen H Lyons Md | 126 Milton Rd, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kathleen M Chaisson Md | 130 Division St # I, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATHLEEN R HEIM.
| 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).