KELSEY A MASTERSON (Credential# 1387534) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 4, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KELSEY A MASTERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064296. The credential type is controlled substance registration for practitioner. The effective date is April 4, 2019. The expiration date is February 28, 2021. The business address is 267 Grant Street, Bridgeport, CT 06610. The current status is active.
Licensee Name | KELSEY A MASTERSON |
Credential ID | 1387534 |
Credential Number | CSP.0064296 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
267 Grant Street Bridgeport CT 06610 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-11-03 |
Effective Date | 2019-04-04 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-04-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1379896 | 23.003728 | Physician Assistant | 2016-11-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
1078023 | 70.015186 | Emergency Medical Technician | 2012-06-29 | 2012-06-29 - 2015-03-31 | INACTIVE |
Street Address | 267 Grant Street |
City | Bridgeport |
State | CT |
Zip Code | 06610 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Janeane M Flynn | 267 Grant Street, Bridgeport, CT 06610 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Armand J Wolff Md | 267 Grant Street, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Justin C Cahill Md | 267 Grant Street, Bridgeport, CT 06610 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Christina Tierney | 267 Grant Street, Bridgeport, CT 06901 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jay Parekh | 267 Grant Street, Bridgeport, CT 06610-0120 | Controlled Substance Registration for Practitioner | 2019-07-08 ~ 2021-02-28 |
Ankit Chhoda | 267 Grant Street, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Astou Seye | 267 Grant Street, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Roselle E Crombie Md | 267 Grant Street, Bridgeport, CT 06110 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Linsley B Sikorski | 267 Grant Street, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jun Yi Lai | 267 Grant Street, Bridgeport, CT 06610-0120 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06610 |
City | Bridgeport |
Zip Code | 06610 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Bridgeport |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bryan P Masterson | 24 Ironwood Dr, Pennellville, NY 13132-3143 | Controlled Substance Registration for Practitioner | 2011-07-07 ~ 2013-02-28 |
Thomas J Masterson | 12 Case Street, Norwich, CT 06360-2222 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Larry Lee Masterson | 701 Enfield Street, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kelsey M Bestall | 3 Mccurdy Ct, Old Lyme, CT 06371-1628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sepehr Sajjad Md | 84 Kelsey Pl, Madison, CT 06443-2800 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kelsey R Devoe | 46 Island Rd, Holland, MA 01521-2531 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kelsey Leder | 790 Orange St Fl 3, New Haven, CT 06511-2535 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kelsey M Cameron | 210 Damascus Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anita M Kelsey Md | 5 Ardsley Way, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kelsey O Cole | 344 Bartlett Dr, Madison, CT 06443-1785 | 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).