KATHERINE M MASOUD (Credential# 1179559) 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 M MASOUD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055900. 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 3 Wildcat Rd, Madison, CT 06443-2415. The current status is active.
| Licensee Name | KATHERINE M MASOUD |
| Credential ID | 1179559 |
| Credential Number | CSP.0055900 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3 Wildcat Rd Madison CT 06443-2415 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-08-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1172838 | 12.005434 | Advanced Practice Registered Nurse | 2013-08-06 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 889835 | 10.089999 | Registered Nurse | 2009-08-05 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 3 WILDCAT RD |
| City | MADISON |
| State | CT |
| Zip Code | 06443-2415 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amir E Masoud | 3 Wildcat Rd, Madison, CT 06443-2415 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amir E Masoud | 3 Wildcat Rd, Madison, CT 06443-2415 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Masoud Azodi Md | 390 Livingston Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine Y Lee | 840 Flintlock Rd, Southport, CT 06890-3044 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katherine Prioli | P.o.box 346, Uncasville, CT 06382-0346 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Katherine E Gaudet | Po Box 550, Somersville, CT 06072-0550 | Controlled Substance Registration for Practitioner | 2017-01-19 ~ 2019-02-28 |
| Katherine Lm Bender | 3 S View Ter, Old Saybrook, CT 06475-2222 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine A Sundstrom | Wcmhn, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine Marcello | 140 Huyshope Ave Apt 329, Hartford, CT 06106-2892 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine Daoud | 80 Seymour St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2020-05-18 ~ 2021-02-28 |
| Katherine R Kavanagh | 282 Washington, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATHERINE M MASOUD.
| 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).