KEVIN O TRAILLE (Credential# 1523441) 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.
KEVIN O TRAILLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068657. 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 1773 Casey Court, Mohegan Lake, NY 10547. The current status is active.
| Licensee Name | KEVIN O TRAILLE |
| Credential ID | 1523441 |
| Credential Number | CSP.0068657 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1773 Casey Court Mohegan Lake NY 10547 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1523385 | 12.007689 | Advanced Practice Registered Nurse | 2018-07-18 | 2019-07-01 - 2020-06-30 | ACTIVE |
| 1257797 | 10.123824 | Registered Nurse | 2014-12-15 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 1773 Casey Court |
| City | Mohegan Lake |
| State | NY |
| Zip Code | 10547 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna J Zuck | 3139 East Main St, Mohegan Lake, NY 10547 | Tax Preparer/facilitator Permit | 2020-03-04 ~ 2022-03-31 |
| Lew Strumpf | 3139 E Main Street Ste 29, Mohegan Lake, NY 10547 | Tax Preparer/facilitator Permit | 2020-03-04 ~ 2022-03-31 |
| Nicole Cristofaro | 3713 Marcy St, Mohegan Lake, NY 10547 | Tax Preparer/facilitator Permit | 2020-02-14 ~ 2022-02-28 |
| Ramanjit S Dhanoa | 1332 Judy Rd, Mohegan Lake, NY 10547 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Dana Sedlak | 233 Pine Road, Briarcliff Manor, NY 10547 | Licensed Clinical Social Worker | ~ |
| Nichole Michelle Riehm | 1498 Dover Street, Mohegan Lake, NY 10547 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Donald M Campbell | 1427 Inspiration Road, Mohegan Lake, NY 10547 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Swati Sreedharan | 2923 Lexington Ave, Mohegan Lake, NY 10547 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Jennifer A Cusano | 1437 Delawre Rd, Mohegan Lake, NY 10547 | Notary Public Appointment | 2019-02-01 ~ 2024-02-29 |
| Katie Anne Fernandez | 2665 Deer Street, Mohegan Lake, NY 10547 | Notary Public Appointment | 2014-04-10 ~ 2019-04-30 |
| Find all Licenses in zip 10547 | |||
| City | Mohegan Lake |
| Zip Code | 10547 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Mohegan Lake |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin J Twohig | Kevin J Twohig Md, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin K Lee | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kevin S Jo | 30 Waterchase Dr, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin A Davis | 30 Park Ter E Apt 5a, New York, NY 10034-1535 | Controlled Substance Registration for Practitioner | 2009-09-03 ~ 2011-02-28 |
| Kevin B Panzer | 857 Post Rd Apt 353, Fairfield, CT 06824-6041 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin N Sheth Md | 15 York St, New Haven, CT 06510-3221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin Maguire | 163 Snowdrift Ln, Williston, VT 05495-4434 | Controlled Substance Registration for Practitioner | 2020-04-16 ~ 2021-02-28 |
| Kevin P Langan Dmd | 35 Pleasant St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kevin I Baratta | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin Morine | 495 Williams St, Longmeadow, MA 01106-2059 | Controlled Substance Registration for Practitioner | ~ |
Please comment or provide details below to improve the information on KEVIN O TRAILLE.
| 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).