KATHLEEN MARY DILEVA (Credential# 1526816) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 27, 2018. The license expiration date date is February 28, 2019. The license status is LAPSED.
KATHLEEN MARY DILEVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068836. The credential type is controlled substance registration for practitioner. The effective date is June 27, 2018. The expiration date is February 28, 2019. The business address is 107 S Mennonite Rd, Collegeville, PA 19426-2868. The current status is lapsed.
Licensee Name | KATHLEEN MARY DILEVA |
Credential ID | 1526816 |
Credential Number | CSP.0068836 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
107 S Mennonite Rd Collegeville PA 19426-2868 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2018-06-27 |
Effective Date | 2018-06-27 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1512763 | 12.007619 | Advanced Practice Registered Nurse | 2018-06-17 | 2018-06-17 - 2018-12-31 | INACTIVE |
1512158 | 10.151158 | Registered Nurse | 2018-06-17 | 2018-06-17 - 2018-12-31 | INACTIVE |
Street Address | 107 S MENNONITE RD |
City | COLLEGEVILLE |
State | PA |
Zip Code | 19426-2868 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ashley Mae Buck | 504 Hildebeitel Rd, Collegeville, PA 19426 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Joyce C Canterbury | 302 Johnson Road, Collegeville, PA 19426 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Charles W Confer | 1325 Merrybrook Rd, Collegeville, PA 19426 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Craig J Ross | 108 Joan Drive, Trappe, PA 19426 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Kenneth R Fulmer | 46 Oak Rd, Collegeville, PA 19426 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Barbara A Fuchs | 62 Whitehall Dr, Collegeville, PA 19426 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Kathleen Merkel Jackson | 8002 Woodgate Circle, Collegeville, PA 19426 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Deidre Nicole Martin | 118 Larchwood Court, Collegeville, PA 19426 | Registered Nurse | 2019-08-01 ~ 2020-08-31 |
Jennifer P Yakupcin | 487 Stoneglen Street, Collegeville, PA 19426 | Registered Nurse | 2006-10-02 ~ 2007-09-30 |
Noam U Epstein | 1250 Collegeville Road, Collegeville, PA 19426 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Find all Licenses in zip 19426 |
City | COLLEGEVILLE |
Zip Code | 19426 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COLLEGEVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kathleen A. Ennis | 30 Orchard St, Cos Cob, CT 06807-2403 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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 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 E Titus Pa | Po Box 650, Fiskdale, MA 01518 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Kathleen L Smith Md | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Kathleen Coffin | 627 Chapel St Apt 4a, New Haven, CT 06511-6993 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kathleen M Sanders | 435 Riverside Dr Apt 31, New York, NY 10025-7763 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Kathleen M Miller | 3 Woodside Dr, Unionville, CT 06085-1550 | Controlled Substance Registration for Practitioner | 2019-03-04 ~ 2021-02-28 |
Kathleen C Suozzi | 40 Temple St Ste 5a, New Haven, CT 06510-2745 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).