KRISTIN SEGAL (Credential# 162193) 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.
KRISTIN SEGAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021732. 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 36 Plank Rd, Prospect, CT 06712-1476. The current status is active.
| Licensee Name | KRISTIN SEGAL |
| Credential ID | 162193 |
| Credential Number | CSP.0021732 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
36 Plank Rd Prospect CT 06712-1476 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742105 | 23.000356 | Physician Assistant | 1993-11-05 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 755984 | 28.005198 | Radiographer | 2007-09-12 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 36 PLANK RD |
| City | PROSPECT |
| State | CT |
| Zip Code | 06712-1476 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lynsey J Pupello | 14 Plank Rd, Prospect, CT 06712-1476 | Radiographer | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie B Vinci | 5 Hickory Dr, Prospect, CT 06712 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Brian J Gomez | 11 Klein Drive, Prospect, CT 06712 | Community Health Worker | ~ |
| Robin M Sills | 11 Hickory Drive, Prospect, CT 06712 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Erica L Boisvert | 30 Putting Green Lane, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mercury Fuel Service Inc · Mercury #24 Prospect | 68 Waterbury Prospect Rd, Prospect, CT 06712 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michael F Lynch | 27 Luke Street, Prospect, CT 06712 | Distribution System Operator - Class IIi | 2020-04-01 ~ 2023-03-31 |
| Michelle K Bathgate | 23 Nancy Mae Avenue, Prospect, CT 06712 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Czarina V Gillette | 7 Juggernaut Road, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Karli R Griffin | 62 Royal Crest Drive, Prospect, CT 06712 | Real Estate Salesperson | ~ |
| Jacob Frank Howson | 50 Sherwood Drive, Prospect, CT 06712 | Emergency Medical Responder | ~ |
| Find all Licenses in zip 06712 | |||
| City | PROSPECT |
| Zip Code | 06712 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PROSPECT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan Segal Md | 266 Great Oak St, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Ita Segal | 10 Knollwood Drive, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Robin Segal | 205 Sunset Rdg, Rocky Hill, CT 06067-2929 | Controlled Substance Registration for Practitioner | 2019-04-15 ~ 2021-02-28 |
| Arlene E Segal Md | 2504 Ne 66th St, Gladstone, MO 64118 | Controlled Substance Registration for Practitioner | 2002-03-11 ~ 2003-02-28 |
| Martha F. Segal | 5001 Statesman Dr, Irving, TX 75063 | Controlled Substance Registration for Practitioner | 2013-04-29 ~ 2015-02-28 |
| Kristin E D'aco | 547 Orange St Apt 4, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-04-01 ~ 2011-02-28 |
| Kristin S Gildersleeve Md | Po Box 636, Hebron, CT 06248 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristin A Daley | 112 Quarry Rd Fl 3, Trumbull, CT 06611-4848 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristin S Sutcliffe | 30 Lisa Dr, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristin S Budde | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KRISTIN SEGAL.
| 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).