KATHRYN A COLLINS MD (Credential# 204314) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 28, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KATHRYN A COLLINS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027770. The credential type is controlled substance registration for practitioner. The effective date is March 28, 2019. The expiration date is February 28, 2021. The business address is 900 N Brooksvale Rd, Cheshire, CT 06410. The current status is active.
| Licensee Name | KATHRYN A COLLINS MD |
| Credential ID | 204314 |
| Credential Number | CSP.0027770 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
900 N Brooksvale Rd Cheshire CT 06410 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-28 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554542 | 1.036952 | Physician/Surgeon | 1998-06-12 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 900 N BROOKSVALE RD |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wenjie Yu | 13 Collins Rd, Bristol, CT 06010-3873 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathryn M Law | 91 Bishop St Apt 38, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Jonathan Rosen | 25 Collins Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Craig S Erickson | 13 Collins Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-27 ~ 2021-02-28 |
| Nicole Collins | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2011-03-29 ~ 2013-02-28 |
| Stephen C Collins | 150 Sargent Dr, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward J Collins Jr | 150 Mansfield Ave, Willimantic, CT 06226 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| H Andrew Selinger Md | 25 Collins Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gary Poupko Md | 34 Collins St, Waterbury, CT 06704 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brendan M Collins | 129 Woodland St Apt 4, Hartford, CT 06105-1218 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).