KRISTEN COFFEY (Credential# 1192175) 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.
KRISTEN COFFEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056355. 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 2 Hickory Hill Dr, Wilbraham, MA 01095-1423. The current status is active.
| Licensee Name | KRISTEN COFFEY |
| Credential ID | 1192175 |
| Credential Number | CSP.0056355 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2 Hickory Hill Dr Wilbraham MA 01095-1423 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-11-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1188395 | 23.003025 | Physician Assistant | 2013-11-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 2 HICKORY HILL DR |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-1423 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kara Elizabeth Gasteyer | 6 Victoria Court, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Ethan Michael Gasteyer | 40 Shirley Street, Wilbraham, MA 01095 | Emergency Medical Technician | ~ |
| Anne M Grady | 692 Stony Hill Road, Wilbraham, MA 01095 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Bryant A Chouinard | 5 Oldwood Rd, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Michael F Egan | 22 Fernwood Drive, Wilbraham, MA 01095 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Janice A Mitchell | P.o. Box 101, Wilbraham, MA 01095 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Paul A Huijing | P.o. Box 516, Wilbraham, MA 01095 | Professional Engineer | 2020-05-05 ~ 2021-01-31 |
| Dang Ngo | 38 Weston Street, Wilbraham, MA 01095 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Katlyn E O'brien | 416 Soule Road, Wilbraham, MA 01095 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marie A Bienvenue | 3 Evergreen Circle, Wilbraham, MA 01095 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 01095 | |||
| City | WILBRAHAM |
| Zip Code | 01095 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILBRAHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terrence J Coffey | 100 Temple Street #10, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-10-01 ~ 2008-02-29 |
| Margaret R Coffey Md | 41 Canterbury Road, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole L Coffey | 272 Redwood Road, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristen M Joly | 111 Ernest Way, Danielson, CT 06239-4261 | Controlled Substance Registration for Practitioner | 2020-05-08 ~ 2021-02-28 |
| Kristen A Marrone | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kristen M Hysell | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kristen L Pawlowski | 258 Bay Harbour Rd, Mooresville, NC 28117 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kristen Nwanyanwu | 40 Temple St, New Haven, CT 06510-2718 | Controlled Substance Registration for Practitioner | 2019-08-26 ~ 2021-02-28 |
| Kristen L Moore | 45 Enrico Rd, Bolton, CT 06043-7554 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristen K Donato | 133 South Rd, Marlborough, CT 06447-1518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).