MICHAEL A KILGANNON (Credential# 145833) 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.
MICHAEL A KILGANNON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0012406. 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 60 Fieldstone Dr, Storrs, CT 06268-2572. The current status is active.
| Licensee Name | MICHAEL A KILGANNON |
| Credential ID | 145833 |
| Credential Number | CSP.0012406 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
60 Fieldstone Dr Storrs CT 06268-2572 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1221359 | CSP.0057141 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-05-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 545649 | 1.025777 | Physician/Surgeon | 1984-07-09 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 367352 | CSP.0034768 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-31 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 60 FIELDSTONE DR |
| City | STORRS |
| State | CT |
| Zip Code | 06268-2572 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell J Dutta | 14 Fieldstone Dr, Storrs Mansfield, CT 06268-2572 | Engineer-in-training | 2012-10-16 ~ 2022-10-16 |
| Kellyn R Siracusa | 66 Fieldstone Dr, Storrs Mansfield, CT 06268-2572 | Athletic Trainer | 2018-09-01 ~ 2019-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS |
| Zip Code | 06268 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STORRS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael K Hwang Dmd | Michael K Hwang, Dmd, LLC, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Yao | 132 Bell Rd, Scarsdale, NY 10583-5835 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael Lao | 195 Hartford Rd Apt C32, New Britain, CT 06053-1519 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael A Mcgourty Pa | 56 Oak St, Middletown, RI 02842-4945 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michael S Green | P.o. Box 88, Brooksville, ME 04617 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Michael Blefeld | 495 Rt 184, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Ring Md | Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Michael M Talty Pa | Wingdale, NY 12594 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Michael J Lee Md | 1 Cooper Plz, Camden, NJ 08103-1461 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on MICHAEL A KILGANNON.
| 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).