CARISSA MARIE KELLY (Credential# 1617049) 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.
CARISSA MARIE KELLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069915. 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 22 Fales Rd, Sharon, MA 02067-1086. The current status is active.
| Licensee Name | CARISSA MARIE KELLY |
| Credential ID | 1617049 |
| Credential Number | CSP.0069915 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
22 Fales Rd Sharon MA 02067-1086 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-11-28 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1525562 | 10.152845 | Registered Nurse | 2018-08-03 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1525563 | 12.007947 | Advanced Practice Registered Nurse | 2018-11-05 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 22 FALES RD |
| City | SHARON |
| State | MA |
| Zip Code | 02067-1086 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Leblanc | 190 Norwood Street, Sharon, MA 02067 | Architect | 2020-08-01 ~ 2021-07-31 |
| Allie B Hershey | 37 Aspen Rd, Sharon, MA 02067 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Uwe Fischer | 40 Pheasant Wood Rd, Sharon, MA 02067 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Paul F Kenney | 18 E. Chestnut St., Sharon, MA 02067 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Michael R Fillion | 71 East St, Sharon, MA 02067 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Daniel J Carroll | 16 Willow St, Sharon, MA 02067 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Amit R Patel | 203 Hampton Road, Sharon, MA 02067 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Daniel T Dirgins | 17 Bluff Head Rd, Sharon, MA 02067 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Glenn K Dougherty | 23 Firebrick Rd, Sharon, MA 02067 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Joann E Dousa | 15 Moose Hill Parkway, Sharon, MA 02067 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 02067 | |||
| City | SHARON |
| Zip Code | 02067 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHARON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa Marie Miller | 137 Creamery Road, Hopewell Junction, NY 12533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ann Marie Conti-kelly Md | 568 South Brooksvale Road, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carissa Wilma Tong | 66 Highland Rd Apt 2l, Stamford, CT 06902-2848 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carissa L Gonell | 210 Eastwood Circle, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carissa Patsky-pomerleau Md | 49 Old Maids Lane, South Glastonbury, CT 06073 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carissa M Monterroso | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna Marie Marie Romito | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly M. Doran Md | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kelly J Way | 34 B Springbrook Rd, Westerly, RI 02891 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly M Ferjentsik | 34 Little Fox Ln, Monroe, CT 06468-1607 | 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).