KATELYN CROWLEY (Credential# 1657965) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 10, 2019. The license expiration date date is June 22, 2022. The license status is ACTIVE.
KATELYN CROWLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063331-RES. The credential type is resident physician. The effective date is June 10, 2019. The expiration date is June 22, 2022. The business address is 64 Robbins St Rm 3304, Waterbury, CT 06708-2613. The current status is active.
Licensee Name | KATELYN CROWLEY |
Credential ID | 1657965 |
Credential Number | 1.063331-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
64 Robbins St Rm 3304 Waterbury CT 06708-2613 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-06-10 |
Effective Date | 2019-06-10 |
Expiration Date | 2022-06-22 |
Refresh Date | 2019-07-09 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1663334 | CSP.0071275 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-29 | 2019-05-29 - 2021-02-28 | ACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Katelyn Crowley | 23 Walnut Hill Road, East Lyme, CT 06333 | Notary Public Appointment | 2014-04-14 ~ 2019-04-30 |
Street Address | 64 ROBBINS ST RM 3304 |
City | WATERBURY |
State | CT |
Zip Code | 06708-2613 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rusudan Matcharashvili | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
Sidhant Singh | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
Camila E Rodriguez Buljubasich | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
Sara Soliman | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
Mojtaba Mirzaei | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
Rohit Singh | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Resident Physician | 2018-06-11 ~ 2021-06-30 |
Hafsa Farooq | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Herbert B Castillo Valladares | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-08-13 ~ 2021-02-28 |
Kristin M Torre | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
Emily L Coleman | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Emery A Edmondson | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2020-06-28 ~ 2025-06-27 |
Marian Saba | 64 Robbins St # 3304, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
Sandeep Sachidananda | 64 Robbins St Rm 1303, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Neville M Patel | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2020-06-28 ~ 2025-06-27 |
Gaspar A Barreto Montero | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-28 ~ 2024-06-27 |
Michael T. Geraghty | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-28 ~ 2024-06-27 |
Georgios Mihalopulos | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2018-06-28 ~ 2023-06-27 |
Andrew Wakeman | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-28 ~ 2022-06-27 |
Maryam Ahmed | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
Sana Fatima | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
Find all Licenses in zip 06708-2613 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06708 |
City | WATERBURY |
Zip Code | 06708 |
License Type | Resident Physician |
License Type + County | Resident Physician + WATERBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Katelyn Cusmano | 200 College St Apt 547, New Haven, CT 06510-2452 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Katelyn Hoyan Wong | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Katelyn Kane Johnson | 15 Highlandview Ave, Hamden, CT 06517-2513 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
James T Crowley · Crowley Construction | 534 Boston Post Rd, Waterford, CT 06385 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
Jane Crowley · Crowley | 73 Chelsea Ct, Torrington, CT 06790-6078 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Crowley Rv | 9 Barber St, Bristol, CT 06010 | Secondhand Dealer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Patrick J Crowley II · Crowley Construction | 27 North Main St Apt 6, Ivoryton, CT 06442 | Home Improvement Contractor | 2003-09-25 ~ 2004-11-30 |
Katelyn Norman | 757 Waterman Rd, Lebanon, CT 06249-2638 | Physician/surgeon | ~ |
Katelyn M Morico | 318 Clark Ave, Branford, CT 06405-4704 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Leo M Crowley | 638 S 2nd St Apt 4, Louisville, KY 40202-2400 | Physician/surgeon | 1988-04-15 ~ 1990-09-30 |
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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).