KEITH BICKMORE WARNER (Credential# 1496557) 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 INACTIVE.
KEITH BICKMORE WARNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067563. 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 2411 Foxglove Dr, Pearland, TX 77584-7939. The current status is inactive.
| Licensee Name | KEITH BICKMORE WARNER |
| Credential ID | 1496557 |
| Credential Number | CSP.0067563 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2411 Foxglove Dr Pearland TX 77584-7939 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2018-06-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1519707 | 1.061218-RES | Resident Physician | 2018-08-01 | 2018-08-01 - 2019-06-30 | INACTIVE |
| Street Address | 2411 FOXGLOVE DR |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-7939 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Santy S Mathew | 2318 Shadow Falls Lane, Pearland, TX 77584 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Angelyn Garcia Da Silva | 10015 Forest Spring Lane, Pearland, TX 77584 | Registered Nurse - Temporary | 2020-01-13 ~ 2020-05-12 |
| Donna Ukanowicz | 3014 Gorom Court, Pearland, TX 77584 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Lemoine | 2918 Shoreside Drive, Pearland, TX 77584 | Genetic Counselor | 2020-06-01 ~ 2021-05-31 |
| Jamie Reed | 4915 Century Woods Lane, Pearland, TX 77584 | Registered Nurse | 2018-04-01 ~ 2019-03-31 |
| Clayde M Hagad · Marbid | 2619 Tidenhaven Drive, Pearland, TX 77584 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Michele Nelson-wilkins | 2905 Meadows Pond Lane, Pearland, TX 77584 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alyssa E Santos | 3116 Morgan Meadow Ln, Pearland, TX 77584 | Pharmacy Intern | 2017-09-12 ~ 2021-09-30 |
| Glenn B Obate | 13018 Balsam Breeze Lane, Pearland, TX 77584 | Engineer-in-training | 2006-08-08 ~ 2016-08-08 |
| Harish Krishnarao · Ansonia Housing Authority | 8625 Orahcrd View Ln, Pearland, TX 77584 | Professional Engineer | 2008-02-01 ~ 2009-01-31 |
| Find all Licenses in zip 77584 | |||
| City | PEARLAND |
| Zip Code | 77584 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PEARLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| C Norton Warner Md | Po Box 427, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | ~ |
| Alan J Smally Md | 20 Warner Ct, Glastonbury, CT 06033-5010 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| George F Brinius | 11 Warner Pl, Newport, RI 02840-2150 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard T Warner Md | Po Box 246, Pomfret Center, CT 06259 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Laura Whitman | 655 Warner Hill Rd, Southport, CT 06890-3040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Warner Yaffee | 85 Seymour St Ste 919, Hartford, CT 06106-5528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen V Warner | 85 Church Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lori B Armstrong | 105 Steeplechase Run, Warner Robins, GA 31088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carmelo V Venero | 141 Warner Rd, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Kenneth Gerard Warner | 750 Washington St # 266, Boston, MA 02111-1526 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KEITH BICKMORE WARNER.
| 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).