KEVIN P BARATTA (Credential# 1487658) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 20, 2017. The license expiration date date is June 26, 2020. The license status is INACTIVE.
KEVIN P BARATTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057348-RES. The credential type is resident physician. The effective date is June 20, 2017. The expiration date is June 26, 2020. The business address is 345 Buckland Hills Dr Apt 18121, Manchester, CT 06042-8727. The current status is inactive.
Licensee Name | KEVIN P BARATTA |
Credential ID | 1487658 |
Credential Number | 1.057348-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
345 Buckland Hills Dr Apt 18121 Manchester CT 06042-8727 |
Business Type | INDIVIDUAL |
Status | INACTIVE - INACTIVE |
Issue Date | 2017-06-20 |
Effective Date | 2017-06-20 |
Expiration Date | 2020-06-26 |
Refresh Date | 2020-06-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1080762 | CSP.0052897 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-26 | 2013-04-04 - 2015-02-28 | INACTIVE |
Street Address | 345 BUCKLAND HILLS DR APT 18121 |
City | MANCHESTER |
State | CT |
Zip Code | 06042-8727 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jason R Albrecht | 345 Buckland Hills Dr Apt 17232, Manchester, CT 06042-8727 | Pharmacy Intern | 2016-10-03 ~ 2020-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Find all Licenses in zip 06042 |
City | MANCHESTER |
Zip Code | 06042 |
License Type | Resident Physician |
License Type + County | Resident Physician + MANCHESTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vanessa Marie Baratta | 360 State St, New Haven, CT 06510-3601 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
Kevin Baratta | 77 Carter Ln, Plantsville, CT 06479-1501 | Physician/surgeon | 2020-05-24 ~ 2021-05-31 |
Kevin I Baratta | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kevin J Barnum | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Kevin J Reid | 276 Towpath Ln, Cheshire, CT 06410-3314 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Kevin Clark | 44 Republic Dr, Bloomfield, CT 06002-5458 | Resident Physician | 2020-06-28 ~ 2021-06-30 |
Kevin R. Coleman | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2013-07-01 ~ 2020-06-30 |
Kevin Yiming Yan | 240 Congress Ave Apt 316, New Haven, CT 06519-1403 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
Kevin T Pelland Jr. | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-10 ~ 2021-06-30 |
Kevin A Kasner | 234 Kingswood Dr, Avon, CT 06001-3182 | Resident Physician | 2017-06-28 ~ 2021-06-30 |
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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).