THOMAS D KAELIN JR (Credential# 163358) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.
THOMAS D KAELIN JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022022. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1998. The expiration date is February 28, 1999. The business address is 217 Brandywine Drive, Summerville, SC 29485. The current status is inactive.
| Licensee Name | THOMAS D KAELIN JR |
| Credential ID | 163358 |
| Credential Number | CSP.0022022 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
217 Brandywine Drive Summerville SC 29485 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Effective Date | 1998-03-01 |
| Expiration Date | 1999-02-28 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 538116 | 1.000381-DO | Physician/Surgeon | 1994-02-25 | 1997-10-08 - 1998-11-30 | INACTIVE |
| Street Address | 217 BRANDYWINE DRIVE |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Lynn Kirsch | 102 King Charles Court, Summerville, SC 29485 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marisel Rodriguez | 143 Marshside Drive, Summerville, SC 29485 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Nicholas Kleine | 106 Summer Trace Drive, Summerville, SC 29485 | Registered Nurse | ~ |
| Lindsey M Brletich | 573 Pointe of Oaks Rd, Summerville, SC 29485 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Lynn M Hendy | 109 Woodland Drive, Summerville, SC 29485 | Hairdresser/cosmetician | 2020-02-01 ~ 2022-01-31 |
| Walter J Wassil | 156 Golf View Lane, Summerville, SC 29485 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Cynthia Ann Laxson | 101 Saint Awdry St, Summerville, SC 29485 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Frank D Ruse | 144 Summer Trace Dr., Summerville, CT 29485 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Dianne J Washington · Coldwell Banker Re Services | 215 Scalybark Rd, Sommerville, SC 29485 | Real Estate Salesperson | 1999-02-10 ~ 1997-05-31 |
| Jennifer M Domschine | 2017 Asher Loop, Summerville, SC 29485 | Registered Nurse | 2015-01-01 ~ 2015-12-31 |
| Find all Licenses in zip 29485 | |||
| City | SUMMERVILLE |
| Zip Code | 29485 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SUMMERVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Antonio Thomas | 128 Bay Ave, New Britain, CT 06053-2205 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Thomas J Lee | 123 York St Apt 14a, New Haven, CT 06511-5696 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James D Thomas Pa-c | Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2008-02-29 ~ 2009-02-28 |
| Thomas J May Do | 50 Brookmoor Rd, Avon, CT 06001-2301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas Klein | 52 Edgewood Way, New Haven, CT 06515-2442 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Thomas Lynam Pa | 318 Highland Ave, Norwalk, CT 06854-4029 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas S Park | 11 Keegan Dr, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joanna D Thomas | 60 Garden St Apt A, Farmington, CT 06032-2206 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Thomas J Fitzgferald | 55 Lake Ave N, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | ~ |
| Thomas M Malloy Md | 226 White St, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
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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).