KATELYN ZACHAU (Credential# 1357586) 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.
KATELYN ZACHAU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062903. 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 75 Hockanum Blvd., Vernon, CT 06066. The current status is active.
| Licensee Name | KATELYN ZACHAU |
| Credential ID | 1357586 |
| Credential Number | CSP.0062903 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
75 Hockanum Blvd. Vernon CT 06066 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1344968 | 1.055300 | Physician/Surgeon | 2016-05-24 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 75 Hockanum Blvd. |
| City | Vernon |
| State | CT |
| Zip Code | 06066 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maryrose Coughlin | 75 Hockanum Blvd., Vernon, CT 06066 | Registered Nurse - Temporary | 2018-06-26 ~ 2018-10-23 |
| Eduardo M Velez | 75 Hockanum Blvd., Vernon, CT 06066 | Physician/surgeon | 2008-10-06 ~ 2009-11-30 |
| Jeannie A Davis | 75 Hockanum Blvd., Vernon, CT 06066 | Respiratory Care Practitioner | 2005-05-02 ~ 2006-03-31 |
| Chinedu Izuegbunam | 75 Hockanum Blvd., Vernon, CT 06066 | Professional Counselor | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Stelma | 35 White St, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diana C Mendieta | 127 Lake St, Vernon, CT 06066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Taylor Rose Mulcahy | 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eric Scott · E Scott Const | 27 Lawrence St, Vernon Rockville, CT 06066 | Home Improvement Contractor | 2020-06-20 ~ 2020-11-30 |
| Margaret A Lucerini | 27 Rosewood Dr, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alexander John Bozzi | 28 Deepwood Dr, Vernon, CT 06066 | Home Inspector Intern | 2020-05-30 ~ 2021-06-30 |
| Kathleen N Laplaca | 244 Risley Road, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Shawnda Shelton | 215 East Main St. #25, Vernon, CT 06066 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Ireland Oil Co Inc | 171 Union St, Vernon, CT 06066 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Annmarie Margaret Fultz | 1a Prospect St, Vernon Rockville, CT 06066 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06066 | |||
| City | Vernon |
| Zip Code | 06066 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Vernon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katelyn T. Zaret Pa | 850 E Main St, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katelyn A Claudomir | 10 Guarino Dr, Middletown, CT 06457-5046 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katelyn M Spence | 120 Oconnell Rd, Colchester, CT 06415-5006 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katelyn Rivers | 23 Cedar St, New Britain, CT 06052-1301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katelyn R Bakewell | 19 Legion Rd, New Milford, CT 06776-3801 | Controlled Substance Registration for Practitioner | 2019-03-22 ~ 2021-02-28 |
| Katelyn D Jupin | 141 Shennecossett Pkwy, Groton, CT 06340-5833 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katelyn Marie Colosi | 13 Canyon Dr, Westerly, RI 02891-3814 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katelyn Bonar | 485 Quiet River Ln, Loudon, TN 37774-5688 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Katelyn I Norman | 64 Robbins St # 3304, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Please comment or provide details below to improve the information on KATELYN ZACHAU.
| 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).