KATHERINE KEDZIERSKI (Credential# 1232408) 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.
KATHERINE KEDZIERSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057820. 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 1625 Straits Tpke Ste 307, Middlebury, CT 06762-1836. The current status is active.
| Licensee Name | KATHERINE KEDZIERSKI |
| Credential ID | 1232408 |
| Credential Number | CSP.0057820 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1625 Straits Tpke Ste 307 Middlebury CT 06762-1836 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1219889 | 1.053120 | Physician/Surgeon | 2014-06-06 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1001150 | CSP.0050410 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-07-13 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 1625 STRAITS TPKE STE 307 |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-1836 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jayakara Shetty Md | 1625 Straits Tpke Ste 200, Middlebury, CT 06762-1836 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beatriz R Olson | 1625 Straits Tpke Ste 207, Middlebury, CT 06762-1836 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Generali School of Literature & The Arts | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Child Care Center | 2018-10-01 ~ 2022-09-30 |
| Ezzat S Hafez | 1625 Straits Tpke Ste 302, Middlebury, CT 06762-1836 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Jonathan D Parkhurst | 1625 Straits Tpke Ste 110, Middlebury, CT 06762-1836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arsalan Elahi | 1625 Straits Tpke Ste 210, Middlebury, CT 06762-1836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Strictly Pizza · Domenic's & Vinnies Pizza | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Gary Kane | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| David C Knight Md | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jonathan J Fillmore Md | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06762-1836 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | MIDDLEBURY |
| Zip Code | 06762 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLEBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine Y Lee | 840 Flintlock Rd, Southport, CT 06890-3044 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katherine E Gaudet | Po Box 550, Somersville, CT 06072-0550 | Controlled Substance Registration for Practitioner | 2017-01-19 ~ 2019-02-28 |
| Katherine Prioli | P.o.box 346, Uncasville, CT 06382-0346 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Katherine N Schiff | 816 Broad St Ste 24, Meriden, CT 06450-4350 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine L Sprague | 50 Republic Dr Apt 252, Bloomfield, CT 06002-5451 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Katherine M Magnuson | 600 Highland Ave, Madison, WI 53792 | Controlled Substance Registration for Practitioner | 2015-04-22 ~ 2017-02-28 |
| Katherine Marcello | 140 Huyshope Ave Apt 329, Hartford, CT 06106-2892 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine C Michaelsen | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Katherine C Riordan | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Katherine A Flaherty | 20 Neptune Ave, Madison, CT 06443-3240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).