KRISTIN S GILDERSLEEVE MD (Credential# 224227) 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.
KRISTIN S GILDERSLEEVE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029064. 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 Po Box 636, Hebron, CT 06248. The current status is active.
Licensee Name | KRISTIN S GILDERSLEEVE MD |
Credential ID | 224227 |
Credential Number | CSP.0029064 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Po Box 636 Hebron CT 06248 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-12-17 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
555827 | 1.038237 | Physician/Surgeon | 1999-11-03 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | PO BOX 636 |
City | HEBRON |
State | CT |
Zip Code | 06248 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ying Li | 44 Barbers Way, Hebron, CT 06248 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Joan B Pethigal | 331 West Street, Hebron, CT 06248 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Hunter Alexis Ralston | 46 Tannery Hill Ln, Hebron, CT 06248 | Professional Counselor Associate | ~ |
Ashley L O'neill | 65 Slocum Rd, Hebron, CT 06248 | Master's Level Social Worker | ~ |
Elaine R Kirchherr · Lauterwasser | 39 Scarboro Rd, Hebron, CT 06248 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Julie Blier | 49 Joel Drive, Hebron, CT 06248 | Notary Public Appointment | 2019-04-01 ~ 2024-03-31 |
Gary Silva | 85 Jones St., Hebron, CT 06248 | Medication Administration Certification | 2018-06-20 ~ 2020-06-19 |
Hengzhe An | 32 Main St,#4, Hebron, CT 06248 | Nail Technician | ~ |
Serge P Arel | 22 Tannery Hill Lane, Hebron, CT 06248 | Architect | 2020-08-01 ~ 2021-07-31 |
Christine A Mattson | 73 Jan Drive, Hebron, CT 06248 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06248 |
City | HEBRON |
Zip Code | 06248 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HEBRON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael R Cicirelli | 7855 Gildersleeve Dr, Kirtland, OH 44094-9535 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert Gildersleeve Md | 21 Ledgebrook Drive, Mansfield Center, CT 06250 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kristin E D'aco | 547 Orange St Apt 4, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-04-01 ~ 2011-02-28 |
Kristin M Logee | 18 Unionville Ave, Plainville, CT 06062-1128 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Kristin M. Nylen Dds | 858 Hannibal St, Fulton, NY 13069 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Kristin Mccoy | Po Box 9317, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kristin S Budde | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kristin C Lombardi | 69 Church St, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2011-04-13 ~ 2013-02-28 |
Kristin L Wiley | 15 W Rock Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kristin D Curran | 17 Pinesbridge Rd, Oxford, CT 06478-1451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).