KERRY FARRELL (Credential# 258755) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2001. The license expiration date date is February 28, 2002. The license status is INACTIVE.
KERRY FARRELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030402. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2001. The expiration date is February 28, 2002. The business address is 491 Gold Star Highway, Groton, CT 06340. The current status is inactive.
Licensee Name | KERRY FARRELL |
Credential ID | 258755 |
Credential Number | CSP.0030402 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
491 Gold Star Highway Groton CT 06340 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2001-03-01 |
Expiration Date | 2002-02-28 |
Refresh Date | 2009-01-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
742769 | 23.001020 | Physician Assistant | 2000-11-21 | 2000-11-21 - 2001-07-31 | INACTIVE |
871449 | 70.970770 | Emergency Medical Technician | 1997-05-01 | - 1999-07-01 | INACTIVE |
Street Address | 491 GOLD STAR HIGHWAY |
City | GROTON |
State | CT |
Zip Code | 06340 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael A Schrempf | 491 Gold Star Highway, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christina Racek | 491 Gold Star Highway, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Garry E Smith-carroll | 491 Gold Star Highway, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Wadie Toma Md | 491 Gold Star Highway, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
Find all Licenses in zip 06340 |
City | GROTON |
Zip Code | 06340 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kerry L Kreidel | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Matthew M Farrell | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Cynthia M Farrell Dvm | 49 Forest Dr, Albany, NY 12205-2522 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Karen L Morrissey | 207 Farrell Rd, Waterbury, CT 06706-2330 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Kerry Jon Heuter | 80 Van Wart Ave, Tarrytown, NY 10591-5715 | Controlled Substance Registration for Practitioner | 2019-12-30 ~ 2021-02-28 |
Kerry E Mcguire | 38 Ridge Rd, Hebron, CT 06248-1545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kerry M Phelan | 2 Shea Dr, Pawcatuck, CT 06379-2234 | Controlled Substance Registration for Practitioner | 2019-03-13 ~ 2021-02-28 |
Kerry L Sawamura | 27 Allspice Ln, Glastonbury, CT 06033-4329 | Controlled Substance Registration for Practitioner | 2019-09-13 ~ 2021-02-28 |
John Mark Farrell | 900 Northrop Rd, Wallingford, CT 06492-1997 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
James J Farrell | 15 York St Lmp 1080, New Haven, CT 06510-3221 | 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).