CRYSTAL L SIMMONS (Credential# 1254919) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
CRYSTAL L SIMMONS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059022. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 4015 County Route 17, De Kalb Junction, NY 13630-4137. The current status is inactive.
| Licensee Name | CRYSTAL L SIMMONS |
| Credential ID | 1254919 |
| Credential Number | CSP.0059022 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4015 County Route 17 De Kalb Junction NY 13630-4137 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2014-11-14 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1252813 | 12.005981 | Advanced Practice Registered Nurse | 2014-11-10 | 2015-11-01 - 2016-10-31 | INACTIVE |
| 1252812 | 10.123286 | Registered Nurse | 2014-11-10 | 2015-11-01 - 2016-10-31 | INACTIVE |
| Street Address | 4015 COUNTY ROUTE 17 |
| City | DE KALB JUNCTION |
| State | NY |
| Zip Code | 13630-4137 |
| City | DE KALB JUNCTION |
| Zip Code | 13630 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DE KALB JUNCTION |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evans K Simmons | 32 Wiscassett Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mollie A Simmons | 400 Bradley St, East Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Jean Kaladeen | 9 Simmons Court, Trenton, ON K8V 6M9 | Controlled Substance Registration for Practitioner | 2020-06-15 ~ 2021-02-28 |
| Elizabeth P Simmons Md | 31 Avondale Road, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Van T Simmons Aprn | 4555 Highland Drive, Lake Charles, LA 70605 | Controlled Substance Registration for Practitioner | 2009-04-13 ~ 2011-02-28 |
| Amy M Boudreau | 4 Crystal Ln, Wallingford, CT 06492-2164 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward Wahn Lee | 64 Crystal Ln Apt B, Storrs, CT 06268-1172 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
| Crystal Piper | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Crystal L Seaforth Od | 69 Sand Pit Rd, Danbury, CT 06810-4004 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Crystal A Kukulka Md | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on CRYSTAL L SIMMONS.
| 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).