KAITLYN M MEHERN (Credential# 1604379) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 16, 2018. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KAITLYN M MEHERN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069632. The credential type is controlled substance registration for practitioner. The effective date is October 16, 2018. The expiration date is February 28, 2021. The business address is 13 Deauville Ct, Northport, NY 11768-2105. The current status is active.
| Licensee Name | KAITLYN M MEHERN |
| Credential ID | 1604379 |
| Credential Number | CSP.0069632 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
13 Deauville Ct Northport NY 11768-2105 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-16 |
| Effective Date | 2018-10-16 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1597256 | 23.004289 | Physician Assistant | 2018-10-16 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1221207 | 70.017739 | Emergency Medical Technician | 2014-06-17 | 2014-06-17 - 2017-03-31 | INACTIVE |
| Street Address | 13 DEAUVILLE CT |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-2105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan L Kleinkopf | 21 Lorraine Court, Northport, NY 11768 | Emergency Medical Technician | ~ |
| Michael A Memoli | 51 Heights Rd, Northport, NY 11768 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Kenneth W Bossung | 88 Laurel Hill Road, Northport, NY 11768 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Grace Brown | 19 Essex Drive, Northport, NY 11768 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Margaret Clare Ward | 112 Lisa Drive, Northport, NY 11768 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| David J Mastanduno | 11 Winkle Point Dr, Northport, NY 11768 | Interior Designer | 2020-01-01 ~ 2020-12-31 |
| John V Catapano | 46 Brookfield Road, Fort Salonga, NY 11768 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Robert A Peterson | 22 Beverly Court, Northport, NY 11768 | Architect | 2019-08-01 ~ 2020-07-31 |
| Tracy Margaret Thorn | 78 Mar-man Drive, Northport, NY 11768 | Registered Nurse | ~ |
| Eric S Postal | 30 Allenby Drive, Northport, NY 11768 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Find all Licenses in zip 11768 | |||
| City | NORTHPORT |
| Zip Code | 11768 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTHPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn M Way | 517 Danielle Way, Dayville, CT 06241-1334 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| Kaitlyn J Flynn | 82 Tunxis Vlg, Farmington, CT 06032-1520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlyn M Foley | 152 Southshire Drive, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlyn E Billington | 180 Broad St Apt 1411, Stamford, CT 06901-2080 | Controlled Substance Registration for Practitioner | 2016-07-02 ~ 2017-02-28 |
| Kaitlyn M. Kasinskas | 17 Church Street South, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlyn H Depaolo | 148 Sidney Avenue, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlyn Marie Guardino | 945 Maint Street, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlyn Gyehyun Lemieux | 155 Windermere Ave Unit 2105, Ellington, CT 06029-5825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlyn Jennings | Saint Mary's Emergency Department, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlyn Klibanoff-dombrowski | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
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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).