CAITLIN R KUCK (Credential# 1230460) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
CAITLIN R KUCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057569. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is N5923 Old Keshena Rd, Shawano, WI 54166-1011. The current status is lapsed.
| Licensee Name | CAITLIN R KUCK |
| Credential ID | 1230460 |
| Credential Number | CSP.0057569 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
N5923 Old Keshena Rd Shawano WI 54166-1011 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2014-06-24 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1487625 | 1.057343-RES | Resident Physician | 2014-06-20 | 2014-06-20 - 2018-06-19 | INACTIVE |
| Street Address | N5923 OLD KESHENA RD |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-1011 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn S Peach | 1187 South Waukechon, Shawano, WI 54166 | Advanced Practice Registered Nurse | 1996-12-24 ~ 1997-10-31 |
| Deborah A Buckarma | W4845 Chrissie Cir, Shawano, WI 54166-1657 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Rose Marie Adelbush | W5691 County Rd E Unit B, Shawano, WI 54166-6837 | Registered Nurse | 2018-05-01 ~ 2019-05-31 |
| City | SHAWANO |
| Zip Code | 54166 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHAWANO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlin Anderson | 50 Lexington Ave Apt 7b, New York, NY 10010-2929 | Controlled Substance Registration for Practitioner | 2015-01-22 ~ 2017-02-28 |
| Caitlin F Myers | 14 Lagana Ln, Norwalk, CT 06850-2203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caitlin A Leposky | 38 Fairfield Ave, Shelton, CT 06484-4034 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caitlin E Erickson | 165 Bradley St Second Fl, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Caitlin M Minihan | 88 Hilltop Dr, Weatogue, CT 06089-9670 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caitlin M Inners | 306 Friendship Ave # A, Hellam, PA 17406-9402 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Caitlin A Imbrogno | 21 Wedgewood Dr, Danbury, CT 06811-2823 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caitlin R Williams | 200 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caitlin Ann Wojciehoski | 24 Park Pl Apt 10h, Hartford, CT 06106-5023 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caitlin H Smith | 118 Sylvia St Apt 5, West Lafayette, IN 47906-2925 | Controlled Substance Registration for Practitioner | 2020-05-13 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CAITLIN R KUCK.
| 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).