KRISTEN M KINSLOW (Credential# 1086877) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KRISTEN M KINSLOW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002810. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 68 Dexter Dr, Shelton, CT 06484. The current status is active.
| Licensee Name | KRISTEN M KINSLOW |
| Credential ID | 1086877 |
| Credential Number | 23.002810 |
| Credential Type | Physician Assistant |
| Business Address |
68 Dexter Dr Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-09-12 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1142161 | CSP.0054067 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-12-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 68 Dexter Dr |
| City | Shelton |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen M Lopez | 747 3rd St Ne, Washington, DC 20002-4311 | Physician Assistant | 2016-06-01 ~ 2017-05-31 |
| Kristen Lee Harger | 24 Adams Dr, Terryville, CT 06786-6013 | Physician Assistant | ~ |
| Kristen M Tracey Pa | 81-14 Topgallant Rd, Stamford, CT 06902 | Physician Assistant | 2005-03-04 ~ 2006-03-31 |
| Kristen L Rinaldi Pa-c | 387 Oak Drive, Watertown, CT 06795 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kristen A Baker | 4 Allison Dr, Madison, CT 06443-2174 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Miriam Kristen Wiggins | 166 Nottingham Dr, East Longmeadow, MA 01028-2631 | Physician Assistant | ~ |
| Kristen J Mosher | 30 Lakeview Terrace, Derby, CT 06418 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kristen Murrone Diamond | 11 Pettibone Dr, Simsbury, CT 06070-2615 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Kristen Alderisio Pa | 1310 Redding Road, Fairfield, CT 06430 | Physician Assistant | 2004-08-05 ~ 2005-09-30 |
| Kristen E Darson | 245 Alvord Park Road, Torrington, CT 06790-3493 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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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).