KATHLEEN A FOGARTY (Credential# 1462942) 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.
KATHLEEN A FOGARTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067139. 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 15 Brook Mnr, Pleasantville, NY 10570-2415. The current status is active.
| Licensee Name | KATHLEEN A FOGARTY |
| Credential ID | 1462942 |
| Credential Number | CSP.0067139 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15 Brook Mnr Pleasantville NY 10570-2415 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-12-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1440445 | 12.007395 | Advanced Practice Registered Nurse | 2017-12-01 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 647770 | 10.R48016 | Registered Nurse | 1992-06-01 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 15 BROOK MNR |
| City | PLEASANTVILLE |
| State | NY |
| Zip Code | 10570-2415 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Adelsberg | 114 Deerfield Lane North, Pleasantville, NY 10570 | Notary Public Appointment | 2020-06-12 ~ 2025-06-30 |
| Amanda L Saraceno | 24 Old Sleepy Hollow Road, Pleasantville, NY 10570 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Nilton Geovany Castro | 8 Clinton Street, Pleasantville, NY 10570 | Professional Counselor | 2020-03-01 ~ 2021-02-28 |
| Alan Siegel | 7 Watch Hill Road, Pleasantville, NY 10570 | Chiropractor | 2020-08-01 ~ 2021-07-31 |
| Elizabeth M Pfriem Foundation | C/o Anthony Montalto Trustee, Pleasantville, NY 10570 | Public Charity | 2018-12-01 ~ 2019-11-30 |
| John N Cohen | 226 Old Sleepy Hollow Rd, Pleasantville, NY 10570 | Architect | 2018-08-01 ~ 2019-07-31 |
| Shanna M Hicks | 5 Spruce Hill Ct, Pleasantville, NY 10570 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ida Jivotovski | 51 Dennis Lane, Pleasantville, NY 10570 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Derek Lamacchia | 63 Highview Terrace, Pleasantville, NY 10570 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Alex Touitou | 68 Ridgeview Dr., Pleasantville, NY 10570 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 10570 | |||
| City | PLEASANTVILLE |
| Zip Code | 10570 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PLEASANTVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Moltz Md | 40 Second Ave #170, Waltham, MA 02154 | Controlled Substance Registration for Practitioner | 1995-12-12 ~ 1997-02-28 |
| Kathleen Thompson | 760 Mix Ave Apt 2e, Hamden, CT 06514-2210 | Controlled Substance Registration for Practitioner | 2019-11-15 ~ 2021-02-28 |
| Kathleen M Thayer | P O Box 284, Colebrook, CT 06021 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kathleen L Smith Md | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kathleen A. Ennis | 30 Orchard St, Cos Cob, CT 06807-2403 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen E Titus Pa | Po Box 650, Fiskdale, MA 01518 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kathleen C Suozzi | 40 Temple St Ste 5a, New Haven, CT 06510-2745 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen Chan | 116 Crown St Apt 5b, New Haven, CT 06510-3044 | Controlled Substance Registration for Practitioner | 2015-06-23 ~ 2017-02-28 |
| Kathleen A O'connor Pa | 4 Hospital Plz Ste 102, Stamford, CT 06902-3602 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen R Nurena Md | 90 Morgan St Ste 108, Stamford, CT 06905 | 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).