KATHERINE A BLOOM (Credential# 536706) 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.
KATHERINE A BLOOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045733. 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 55 Walls Drive, Fairfield, CT 06824. The current status is active.
Licensee Name | KATHERINE A BLOOM |
Credential ID | 536706 |
Credential Number | CSP.0045733 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
55 Walls Drive Fairfield CT 06824 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2009-07-02 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
565289 | 1.047707 | Physician/Surgeon | 2009-05-15 | 2019-08-01 - 2020-07-31 | ACTIVE |
Street Address | 55 Walls Drive |
City | Fairfield |
State | CT |
Zip Code | 06824 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
Find all Licenses in zip 06824 |
City | Fairfield |
Zip Code | 06824 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Fairfield |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Todd E Bloom | 760 Kings Hwy W, Southport, CT 06890-1107 | Controlled Substance Registration for Practitioner | 2019-04-01 ~ 2021-02-28 |
Peter E Bloom Jr | 25 Newell Rd Ste E36, Bristol, CT 06010-5132 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gregory S Bloom Md | 112 Quarry Rd Ste 400, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Justin R. Bloom | Po Box 806, East Windsor, CT 06088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
David I Bloom Md | 2 Bridge Lane, Enfield, CT 06083 | Controlled Substance Registration for Practitioner | ~ |
Jeffrey N Bloom Md | 3020 Westchester Ave Ste 402, Purchase, NY 10577 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Maxine Bloom | 14 Bauer Place, Westport, CT 06880-2138 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
David I Bloom Jr | 1060 Day Hill Road, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Katherine Prioli | P.o.box 346, Uncasville, CT 06382-0346 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Katherine Y Lee | 840 Flintlock Rd, Southport, CT 06890-3044 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).