KACIE R CARLSON PA (Credential# 305606) 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.
KACIE R CARLSON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031952. 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 333 Cedar St Lmp 5040, New Haven, CT 06520. The current status is active.
| Licensee Name | KACIE R CARLSON PA |
| Credential ID | 305606 |
| Credential Number | CSP.0031952 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
333 Cedar St Lmp 5040 New Haven CT 06520 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-03-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742863 | 23.001114 | Physician Assistant | 2001-10-30 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 333 CEDAR ST LMP 5040 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy T Carlson | 417 Highland Ave, Waterbury, Ct, CT 06614-5246 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| David A Carlson | 609 Sherman St, Greensboro, NC 27410-5211 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| C Edwin Carlson Md | 129 Mill St, Berlin, CT 06037 | Controlled Substance Registration for Practitioner | ~ |
| Lisa E Carlson | 20 Old Farms Rd, Andover, CT 06232-1028 | Controlled Substance Registration for Practitioner | 2013-01-30 ~ 2015-02-28 |
| Jon P Carlson | 950 Campbell Ave, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2013-03-10 ~ 2015-02-28 |
| Robert D. Carlson | 47 E Main St, Stafford Springs, CT 06076-1227 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erik J Carlson | Active Orthopaedics PC, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ferris G Gorra | 53 Carlson Ridge Rd, New Milford, CT 06776-2935 | Controlled Substance Registration for Practitioner | 2019-03-21 ~ 2021-02-28 |
| Robert J Carlson Dmd | 645 North Main St, Danielson, CT 06239 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Andrew J Carlson Md | 98 Franklin Road, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KACIE R CARLSON PA.
| 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).