KEVIN T MCCRYSTAL PA (Credential# 358454) 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.
KEVIN T MCCRYSTAL PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034359. 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 72 Maple Ave, Vernon, CT 06066. The current status is active.
| Licensee Name | KEVIN T MCCRYSTAL PA |
| Credential ID | 358454 |
| Credential Number | CSP.0034359 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
72 Maple Ave Vernon CT 06066 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-12-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1359390 | CSP.0063048 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 743105 | 23.001356 | Physician Assistant | 2003-07-14 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 72 MAPLE AVE |
| City | VERNON |
| State | CT |
| Zip Code | 06066 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy D Mccrystal | 72 Maple Ave, Vernon, CT 06066-5414 | Dietitian/nutritionist | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Stelma | 35 White St, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diana C Mendieta | 127 Lake St, Vernon, CT 06066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Taylor Rose Mulcahy | 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eric Scott · E Scott Const | 27 Lawrence St, Vernon Rockville, CT 06066 | Home Improvement Contractor | 2020-06-20 ~ 2020-11-30 |
| Margaret A Lucerini | 27 Rosewood Dr, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alexander John Bozzi | 28 Deepwood Dr, Vernon, CT 06066 | Home Inspector Intern | 2020-05-30 ~ 2021-06-30 |
| Kathleen N Laplaca | 244 Risley Road, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Shawnda Shelton | 215 East Main St. #25, Vernon, CT 06066 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Ireland Oil Co Inc | 171 Union St, Vernon, CT 06066 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Annmarie Margaret Fultz | 1a Prospect St, Vernon Rockville, CT 06066 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06066 | |||
| City | VERNON |
| Zip Code | 06066 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VERNON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin J Twohig | Kevin J Twohig Md, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin K Lee | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kevin J Gill Md | 3 Springvale Dr, Hollis, NH 03049-6013 | Controlled Substance Registration for Practitioner | 2011-01-14 ~ 2013-02-28 |
| Kevin I Baratta | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin M Dooley Md | 77 Greenhurst Rd, W Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Kevin S Frank Dmd | 35 Pleasant St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2015-07-14 ~ 2017-02-28 |
| Kevin O Maher Md | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Kevin A Lindell | 149 New Sweden Rd, Woodstock, CT 06281 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin D Lye | 1414-f1 Whitney Ave, Hamden, CT 06517-2444 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
| Kevin Sterling Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on KEVIN T MCCRYSTAL 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).