CASEY OTT (Credential# 556369) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.
CASEY OTT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038781. The credential type is physician/surgeon. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 22 Old Waterbury Rd, Southbury, CT 06488-3848. The current status is inactive.
Licensee Name | CASEY OTT |
Credential ID | 556369 |
Credential Number | 1.038781 |
Credential Type | Physician/Surgeon |
Business Address |
22 Old Waterbury Rd Southbury CT 06488-3848 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2000-06-21 |
Effective Date | 2018-09-01 |
Expiration Date | 2019-08-31 |
Refresh Date | 2019-12-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1397174 | CSP.0064554 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-01-10 | 2017-01-10 - 2019-02-28 | LAPSED |
239398 | CSP.0029751 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-06-26 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 22 OLD WATERBURY RD |
City | SOUTHBURY |
State | CT |
Zip Code | 06488-3848 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Harvey M Kramer | 22 Old Waterbury Rd, Southbury, CT 06488-3848 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
The Eye Care Group P.C. | 22 Old Waterbury Rd, Southbury, CT 06488-3848 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
Susan Beris | 22 Old Waterbury Rd, Southbury, CT 06488-3848 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan Mosovich | 22 Old Waterbury Rd Ste 201, Southbury, CT 06488-3848 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06488 |
City | SOUTHBURY |
Zip Code | 06488 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SOUTHBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Casey Toombs | 73 Dunn Rd, Coventry, CT 06238-1179 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Mark A Casey | 25 Ludlow Mnr, Norwalk, CT 06855-2010 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
James D Kelly | C/o Loretta Casey, New Haven, CT 06520 | Physician/surgeon | 1994-03-07 ~ 1997-06-30 |
Edward J Casey | 1641 Colden Ave, Bronx, NY 10462 | Physician/surgeon | 1997-12-12 ~ 1999-01-31 |
Sean O Casey | 5995 Opus Parkway, Minnetonka, MN 55343 | Physician/surgeon | 2008-08-06 ~ 2009-09-30 |
Forrest E Lightbody | 1318 Casey Key Dr, Punta Gorda, FL 33950 | Physician/surgeon | 1997-06-03 ~ 1998-05-31 |
John A Casey Md | Division of Neonatology Mc-2948, Farmington, CT 06030 | Physician/surgeon | 2007-07-02 ~ 2008-08-31 |
Casey J Burke | 100 Cold Spring Road, Rocky Hill, CT 06067 | Physician/surgeon | 2006-08-25 ~ 2007-09-30 |
Michael T Casey · Casey Roofing Co Inc | 257 Scofield Ave, Bridgeport, CT 06605 | Home Improvement Contractor | 1996-05-16 ~ 1996-11-30 |
James A Casey Sr · James A Casey Building Cont | 119 West Shore Road, New Preston, CT 06777 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
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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).