KATHRYN L JOHNSON MD (Credential# 162355) 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.
KATHRYN L JOHNSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020887. 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 20 Goodwin St, Niantic, CT 06357. The current status is active.
| Licensee Name | KATHRYN L JOHNSON MD |
| Credential ID | 162355 |
| Credential Number | CSP.0020887 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 Goodwin St Niantic CT 06357 |
| 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 | 2019-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547324 | 1.028693 | Physician/Surgeon | 1987-12-04 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 20 GOODWIN ST |
| City | NIANTIC |
| State | CT |
| Zip Code | 06357 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas M Scanlon | 20 Goodwin St, Niantic, CT 06357-3610 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Young Sun Kim | 265 Roxbury Rd, Niantic, CT 06357 | Nail Technician | ~ |
| Melissa B Bender | 9 Hoskins St, Niantic, CT 06357 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Rachel Brennan | 8 Louise Drive, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tianhua Wang | 11 King Arthur Dr Unit 2h, Niantic, CT 06357 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
| Maxwell V Nucci | 70 Smith St, Niantic, CT 06357 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Virada Lackey | 22 Sunnie Side Drive, Niantic, CT 06357 | Real Estate Salesperson | ~ |
| Niantic Cinema Corp | 279 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Olivia M Blodgett | 30 Lake Ave, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine S Kleczkowski | P.o. Box 281, Niantic, CT 06357 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Robert W Cunningham | 9 South Rd., Niantic, CT 06357 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06357 | |||
| City | NIANTIC |
| Zip Code | 06357 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NIANTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn M Law | 91 Bishop St Apt 38, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Kathryn S Mitra | 41 Bellain Ave, Harrison, NY 10528-3009 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kathryn S Tierney | 285 Spruce St, Cheshire, CT 06410-2020 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathryn R Leach | 88 Central Ave, Hamden, CT 06517-1807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathryn E Medow | 20 York St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathryn J Hollett | 14 Waverly Ave, Portland, CT 06480 | Controlled Substance Registration for Practitioner | 1994-02-01 ~ 1995-10-01 |
| Kathryn E Kasmire | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kathryn A Hogan | 197 Wooster St Apt 1d, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Kathryn A Mcvicar | 1 Park St, New Haven, CT 06504-8901 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathryn J Gaffney | 201 West Ave, Darien, CT 06820-4313 | Controlled Substance Registration for Practitioner | 2020-04-06 ~ 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).