MARYKATE BAXTER (Credential# 1324937) 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.
MARYKATE BAXTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061857. 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 77 Birdseye Rd, Farmington, CT 06032-2427. The current status is active.
| Licensee Name | MARYKATE BAXTER |
| Credential ID | 1324937 |
| Credential Number | CSP.0061857 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
77 Birdseye Rd Farmington CT 06032-2427 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-12-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1305026 | 23.003460 | Physician Assistant | 2015-10-14 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 77 BIRDSEYE RD |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-2427 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tyler J Thomas | 77 Birdseye Rd, Farmington, CT 06032-2427 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Francesca D'abate | 77 Birdseye Rd, Farmington, CT 06032 | Notary Public Appointment | 1994-05-01 ~ 1999-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jadin James | 101 Birdseye Rd, Farmington, CT 06032-2427 | Emergency Medical Technician | 2017-09-21 ~ 2020-06-30 |
| Nicholas P Celentano | 85 Birdseye Rd, Farmington, CT 06032-2427 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Ralph J Bakaj | 93 Birdseye Rd, Farmington, CT 06032-2427 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Kelly A Dang | 99 Birdseye Rd, Farmington, CT 06032-2427 | Shorthand Court Reporter | 2017-01-01 ~ 2017-12-31 |
| Michelle M Paquette | 69 Birdseye Rd, Farmington, CT 06032-2427 | Massage Therapist | 2014-07-01 ~ 2016-06-30 |
| Blue Ocean Importers LLC · Blue Ocean Importers | 91 Birdseye Rd, Farmington, CT 06032-2427 | Out of State Shipper Liquor | 2011-09-17 ~ 2012-09-16 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marykate Dunleavy Pa | 22 West Mystic Ave 1st Flr, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2009-03-31 ~ 2011-02-28 |
| Ksenia Baxter | 308 Colt Hwy Apt 54, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew R.g. Baxter Md | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly E Baxter | 96 W Shannock Rd, Richmond, RI 02812-1145 | Controlled Substance Registration for Practitioner | 2020-02-24 ~ 2021-02-28 |
| Sharon L Baxter Pa | 198 Regency Park Dr, Agawam, MD 01001 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Lynsay E Baxter | 13 Sherry Lane Ext, New Milford, CT 06776-4148 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew Raymond Baxter | 18 Highwood Rd, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aaron J Baxter Md | 3702 Bellefontaine St, Houston, TX 77025-1211 | Controlled Substance Registration for Practitioner | 2013-04-08 ~ 2015-02-28 |
| Keith A Waggoner | 33 Baxter Road, Willington, CT 06279 | Controlled Substance Registration for Practitioner | 1994-06-21 ~ 1996-05-01 |
| Eric L Baxter | 13 Brigadoon Drive, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
Please comment or provide details below to improve the information on MARYKATE BAXTER.
| 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).