REBECCA A KELLER (Credential# 1232197) 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.
REBECCA A KELLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057745. 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 230 Sunnyfield Dr, Windsor, CT 06095-3277. The current status is lapsed.
| Licensee Name | REBECCA A KELLER |
| Credential ID | 1232197 |
| Credential Number | CSP.0057745 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
230 Sunnyfield Dr Windsor CT 06095-3277 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2014-07-10 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1205033 | 1.053134 | Physician/Surgeon | 2014-06-10 | 2016-12-01 - 2017-11-30 | INACTIVE |
| Street Address | 230 SUNNYFIELD DR |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-3277 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin C Taylor · Barber | 158 Sunnyfield Dr, Windsor, CT 06095-3277 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Carmen E Soto | 212 Sunnyfield Dr, Windsor, CT 06095-3277 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Eric Delane | 218 Sunnyfield Dr, Windsor, CT 06095-3277 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Sharon M Gauthier | 142 Sunnyfield Drive, Windsor, CT 06095-3277 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Kiara M Canty | 182 Sunnyfield Dr, Windsor, CT 06095-3277 | Pharmacy Technician | 2017-04-01 ~ 2018-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
| Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
| Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06095 | |||
| City | WINDSOR |
| Zip Code | 06095 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Noah L Keller | 12410 Milestone Center Dr Ste 225, Germantown, MD 20876-7101 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jessica V Merkel-keller | 1502 Park Ave, Baltimore, MD 21217-4237 | Controlled Substance Registration for Practitioner | 2017-03-27 ~ 2019-02-28 |
| Lizbeth Keller Jones | 210 Westchester Avenue, White Plains, NY 10604 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Robert Douglas Forsten | Keller Army Community Hospital, West Point, NY 10996 | Controlled Substance Registration for Practitioner | 2020-03-27 ~ 2021-02-28 |
| Rebecca S Knapp | 75 Church St, Thompson, CT 06277-2609 | Controlled Substance Registration for Practitioner | 2019-04-10 ~ 2021-02-28 |
| Rebecca A Theise | 295 Humphrey St Fl 2, New Haven, CT 06511-3934 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Rebecca E Hommer | 405 Reading Ave, Rockville, MD 20850-1520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca L Eleck | 59 North St, Middlebury, CT 06762-2309 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca Crichton Md | 80 Cottage St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Rebecca L Zeiner Md | 61 Home Ave, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
Please comment or provide details below to improve the information on REBECCA A KELLER.
| 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).