KATHLEEN D BURNS (Credential# 1226186) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KATHLEEN D BURNS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057255. The credential type is controlled substance registration for practitioner. The effective date is July 2, 2019. The expiration date is February 28, 2021. The business address is 420 Montana Street, Monrovia, CA 91016-8413. The current status is active.
Licensee Name | KATHLEEN D BURNS |
Credential ID | 1226186 |
Credential Number | CSP.0057255 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
420 Montana Street Monrovia CA 91016-8413 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-06-03 |
Effective Date | 2019-07-02 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-07-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
650495 | 10.R50748 | Registered Nurse | 1995-02-10 | 2019-07-01 - 2020-06-30 | ACTIVE |
1227869 | 12.005795 | Advanced Practice Registered Nurse | 2014-07-25 | 2019-07-01 - 2020-06-30 | ACTIVE |
1223813 | CSP.0057208 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-05-27 | 2014-05-27 - 2014-06-03 | INACTIVE |
Street Address | 420 Montana Street |
City | MONROVIA |
State | CA |
Zip Code | 91016-8413 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca Anne Costello | 138a North Myrtle Ave, Monrovia, CA 91016 | Certified Public Accountant License | 2015-01-01 ~ 2015-12-31 |
Trader Joe's | 800 W Huntington Dr, Monrovia, CA 91016 | Commercial Feed | 2014-04-04 ~ 2014-12-31 |
Roberto O Romero | 837 Sequoia Circle, Monrouia, CA 91016 | Physician/surgeon | 2009-04-27 ~ 2010-06-30 |
Carlos S Beharie | 101 Oak Grove, Monrovia, CA 91016 | Physician/surgeon | 2000-06-21 ~ 2001-04-30 |
Liviu A Chindris | 321 N. Madison Ave, Monrovia, CA 91016 | Physician/surgeon | 2002-01-02 ~ 2003-02-28 |
Specialty Infusion Pharmacy Inc. | 604 East Huntington Drive, Monrovia, CA 91016 | Nonresident Pharmacy | 2005-09-01 ~ 2006-03-01 |
Dennis Randal Abe | 461 Patrician Way, Monrovia, CA 91016-1641 | Certified Public Accountant Certificate | ~ |
Kim M Caravalho | 541 Linwood Ave Unit A, Monrovia, CA 91016-2658 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
World Vision Inc | 919 W Huntington Dr, Monrovia, CA 91016-3111 | Public Charity-exempt From Financial Requirements | ~ |
Trader Joe's | 604 W Huntington Dr, Monrovia, CA 91016-3206 | Commercial Feed | 2017-01-01 ~ 2017-12-31 |
Find all Licenses in zip 91016 |
City | MONROVIA |
Zip Code | 91016 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MONROVIA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew Burns | 19 Crestwood Rd, Simsbury, CT 06070-1731 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joel E Burns | 3 Lexington St, Wethersfield, CT 06109-1229 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Zinoviy Gutkovich Md | 68-12 Burns St, Forest Hills, NY 11375 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
Kimberly A Burns | 465 Wood Hill Rd, Cheshire, CT 06410-4334 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Carolyn M Sanchez | 101 Burns Ct, Pleasant Hill, CA 94523-4101 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jennifer B Burns | 1 Arlyn Ridge Rd, Newtown, CT 06470-2552 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Diana B Lowenthal Md | 76 Burns Pl, Briarcliff Manor, NY 10510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Marta Williams Dds | 342 Burns St, Forest Hills, NY 11375-6133 | Controlled Substance Registration for Practitioner | 2011-03-09 ~ 2013-02-28 |
Micah A Burns | 10 Amsterdam Ave Apt 1101, New York, NY 10023-7496 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Bennett S Burns Md | 18 Red Fern Ridge, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
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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).