GEORGE V KEITHAN JR (Credential# 1239869) is licensed (Medical Marijuana Dispensary Facility Employee) with Connecticut Department of Consumer Protection. The license effective date is August 27, 2016. The license expiration date date is August 26, 2017. The license status is INACTIVE.
GEORGE V KEITHAN JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #MMDE.0000014. The credential type is medical marijuana dispensary facility employee. The effective date is August 27, 2016. The expiration date is August 26, 2017. The business address is 25 Stevens Rd, Killingworth, CT 06419-1421. The current status is inactive.
Licensee Name | GEORGE V KEITHAN JR |
Credential ID | 1239869 |
Credential Number | MMDE.0000014 |
Credential Type | MEDICAL MARIJUANA DISPENSARY FACILITY EMPLOYEE |
Business Address |
25 Stevens Rd Killingworth CT 06419-1421 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2014-08-26 |
Effective Date | 2016-08-27 |
Expiration Date | 2017-08-26 |
Refresh Date | 2017-10-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1239870 | MMDE | MEDICAL MARIJUANA DISPENSARY FACILITY EMPLOYEE | - 2015-03-03 | INACTIVE | |
426009 | PEN.0025243 | PROFESSIONAL ENGINEER | - | PENDING |
Street Address | 25 STEVENS RD |
City | KILLINGWORTH |
State | CT |
Zip Code | 06419-1421 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary Alexandra Knispel | 45 Stevens Rd, Killingworth, CT 06419-1421 | Registered Nurse | 2019-09-27 ~ 2020-02-29 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06419 |
City | KILLINGWORTH |
Zip Code | 06419 |
License Type | MEDICAL MARIJUANA DISPENSARY FACILITY EMPLOYEE |
License Type + County | MEDICAL MARIJUANA DISPENSARY FACILITY EMPLOYEE + KILLINGWORTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jessica Watson | 458 George Hill Rd, Southbury, CT 06488 | Medical Marijuana Dispensary Facility Employee | 2018-09-22 ~ 2019-09-21 |
Katie Melfi | 391a George Washington Tpke, Burlington, CT 06013-2417 | Medical Marijuana Dispensary Facility Employee | 2020-02-06 ~ 2021-02-05 |
Peter Delgado Jr | 36 Ash St Apt 2b, Willimantic, CT 06226-3115 | Medical Marijuana Dispensary Facility Employee | 2019-04-23 ~ 2020-04-23 |
Ian C Reese | 108 Division St, Derby, CT 06418-1413 | Medical Marijuana Dispensary Facility Employee | 2020-07-03 ~ 2021-07-02 |
Judy Stengel | 23 2nd Ave, Branford, CT 06405-5421 | Medical Marijuana Dispensary Facility Employee | 2017-09-10 ~ 2018-09-09 |
Gregory Nirschel | 2 Old Well Ct, Norwalk, CT 06855-2014 | Medical Marijuana Dispensary Facility Employee | 2020-03-10 ~ 2021-03-10 |
Joseph V Mut IIi | 710 N Greenbrier Dr, Orange, CT 06477-2711 | Medical Marijuana Dispensary Facility Employee | 2020-05-16 ~ 2021-05-15 |
Amy Sullivan | 28 Blueberry Ln, Woodbury, CT 06798-2332 | Medical Marijuana Dispensary Facility Employee | 2018-06-20 ~ 2019-06-19 |
Ana M Resinos | 18 Woodrow St Apt 2, Stamford, CT 06902-0500 | Medical Marijuana Dispensary Facility Employee | 2020-03-31 ~ 2021-03-31 |
Edward Cahill | 24 Kim Cir, Tolland, CT 06084-3509 | Medical Marijuana Dispensary Facility Employee | 2014-09-19 ~ 2015-09-19 |
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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).