KATHLEEN M BANNON MD (Credential# 193210) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 7, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.
KATHLEEN M BANNON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026866. The credential type is controlled substance registration for practitioner. The effective date is May 7, 1998. The expiration date is February 28, 1999. The business address is 1929 74th Street S E, Everett, WA 98203. The current status is inactive.
| Licensee Name | KATHLEEN M BANNON MD |
| Credential ID | 193210 |
| Credential Number | CSP.0026866 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1929 74th Street S E Everett WA 98203 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1998-05-07 |
| Expiration Date | 1999-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554395 | 1.036804 | Physician/Surgeon | 1998-04-24 | - 1998-10-31 | INACTIVE |
| Street Address | 1929 74TH STREET S E |
| City | EVERETT |
| State | WA |
| Zip Code | 98203 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bona Joy Marie C Orofeo | 409 Pecks Drive, Everett, WA 98203 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Ronald D Maloney | 3402 Shore Avenue, Everett, WA 98203 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Mary E Anderson | 3608 Upland Ave, Everett, WA 98203 | Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Caring for Our Children Foundation | 6320 Evergreen Way Ste 202 East, Everett, WA 98203 | Public Charity | 2014-12-01 ~ 2015-11-30 |
| Brian J Perrigo | 1315 Kossuth Ave, Everett, WA 98203 | Real Estate Salesperson | ~ |
| Susan L Wilson | 310 58th Street Se, Everett, WA 98203 | Registered Nurse | 2012-08-01 ~ 2013-07-31 |
| Bronwen F O'neill | 406 72nd St Se, Everett, WA 98203 | Registered Nurse | 2008-05-06 ~ 2009-04-30 |
| Eddy D Deboo | 710 47th Street Se, Everett, WA 98203 | Physical Therapist | ~ 1996-07-31 |
| Mary E Crawford | 2518 Viewcrest Ave., Everett, WA 98203 | Podiatrist | 2000-06-12 ~ 2001-03-31 |
| Julianna Mulliniks | 1707 Merrill Creek Pkwy, Everett, WA 98203 | Massage Therapist | 2003-03-14 ~ 2004-04-30 |
| Find all Licenses in zip 98203 | |||
| City | EVERETT |
| Zip Code | 98203 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EVERETT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen M Bannon Aprn | 54 St Moritz Circle, Willington, CT 06279 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mark J Bannon | 359 Main St, Kensington, CT 06037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen M Thayer | P O Box 284, Colebrook, CT 06021 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kathleen A. Ennis | 30 Orchard St, Cos Cob, CT 06807-2403 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen E Titus Pa | Po Box 650, Fiskdale, MA 01518 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kathleen Moltz Md | 40 Second Ave #170, Waltham, MA 02154 | Controlled Substance Registration for Practitioner | 1995-12-12 ~ 1997-02-28 |
| Kathleen Thompson | 760 Mix Ave Apt 2e, Hamden, CT 06514-2210 | Controlled Substance Registration for Practitioner | 2019-11-15 ~ 2021-02-28 |
| Kathleen L Smith Md | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kathleen B Mantaro | 26 Coachlight Dr, Poughkeepsie, NY 12603-4241 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen M Kirwin | 57 Mohawk Ln, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATHLEEN M BANNON MD.
| 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).