KELLY WEIKERT
Controlled Substance Registration for Practitioner


Address: 47 Avonwood Rd Apt 218, Avon, CT 06001-2015

KELLY WEIKERT (Credential# 1082011) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

KELLY WEIKERT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053052. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 47 Avonwood Rd Apt 218, Avon, CT 06001-2015. The current status is inactive.

Basic Information

Licensee Name KELLY WEIKERT
Credential ID 1082011
Credential Number CSP.0053052
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 47 Avonwood Rd Apt 218
Avon
CT 06001-2015
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-08-06
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Office Location

Street Address 47 AVONWOOD RD APT 218
City AVON
State CT
Zip Code 06001-2015

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Ryan M Choi 47 Avonwood Rd Apt 218, Avon, CT 06001-2015 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28

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Mollie Velma Lahaie 14 Red Mountain Lane, Avon, CT 06001 Registered Nurse 2020-06-26 ~ 2020-08-31
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Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
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Caroline O Amin 5 Colby Way, Avon, CT 06001 Physician/surgeon 2020-08-01 ~ 2021-07-31
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Competitor

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City AVON
Zip Code 06001
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON

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Kelly K Bishop-bartolomei Md Trumbull, CT 06611 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
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Dataset Information

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).

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