MATTHEW D KASULKE (Credential# 1282774) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 7, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
MATTHEW D KASULKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060138. The credential type is controlled substance registration for practitioner. The effective date is May 7, 2015. The expiration date is February 28, 2017. The business address is 222 Dale St, Syracuse, NY 13208-2328. The current status is inactive.
| Licensee Name | MATTHEW D KASULKE |
| Credential ID | 1282774 |
| Credential Number | CSP.0060138 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
222 Dale St Syracuse NY 13208-2328 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2015-05-07 |
| Effective Date | 2015-05-07 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1267921 | 1.054068 | Physician/Surgeon | 2015-04-27 | 2016-01-01 - 2016-12-31 | INACTIVE |
| Street Address | 222 DALE ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13208-2328 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie M Kasulke | 222 Dale St, Syracuse, NY 13208-2328 | Occupational Therapist | 2015-08-01 ~ 2017-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Judith Dispirito | 271 Pleasantview Ave, Syracuse, NY 13208 | Registered Nurse - Temporary | 2018-12-17 ~ 2019-04-16 |
| Ewa Jankowski | 408 Union Place, Syracuse, NY 13208 | Registered Nurse | 2015-05-01 ~ 2016-04-30 |
| Allan B Faulkner | 130 Marsden Rd, Syracuse, NY 13208 | Tv & Radio Limited Dish Antenna Technician | ~ |
| James P Chambers | 513 Craig St, Syracuse, NY 13208 | Registered Nurse | ~ 1999-07-31 |
| William L Haines | 992 Lemoyne Ave, Syracuse, NY 13208 | Asbestos Abatement Supervisor | 2007-04-24 ~ 2007-10-31 |
| James D Harris | 224 Craig Street, Syracuse, NY 13208 | Licensed Practical Nurse | 2006-09-15 ~ 2007-09-30 |
| Kevin L Stith | 968 Wadsworth Street, Syracuse, NY 13208 | Licensed Practical Nurse | 2006-07-20 ~ 2007-04-30 |
| Unique Design & Development Inc | 2014 Grant Blvd, Syracuse, NY 13208 | Major Contractor | 2003-07-17 ~ 2004-06-30 |
| Peter J Basla | 208 E Darlington Rd, Syracuse, NY 13208 | Electrical Unlimited Journeyperson | 2001-10-01 ~ 2002-09-30 |
| Morgan L Semmens | 125 Kenwood Ave, Syracuse, NY 13208-1817 | Fire Protection Unlimited Journeyperson | ~ |
| Find all Licenses in zip 13208 | |||
| City | SYRACUSE |
| Zip Code | 13208 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SYRACUSE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew B Palmer | CT | Controlled Substance Registration for Practitioner | ~ |
| Matthew J Finn | 18 W Elm St, New Haven, CT 06515-2129 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew Lin | 5 Van Winkle St, Bloomfield, NJ 07003 | Controlled Substance Registration for Practitioner | 2015-06-29 ~ 2017-02-28 |
| Matthew D Paul | 69 Sand Pit Rd, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew A Cissell Pa-c | 40 Prospect Ave Apt 1-1g, Norwalk, CT 06850-3741 | Controlled Substance Registration for Practitioner | 2011-10-17 ~ 2013-02-28 |
| Matthew E Schmitt | 96 Truman St, Apt C, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew Johnson Pa-c | 149 Water St Apt 37, Norwalk, CT 06854-3758 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew K Schindler | 545 Orange St, New Haven, CT 06511-3835 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Matthew Tschudy | 49 Marjorie Ln, Manchester, CT 06042-2076 | Controlled Substance Registration for Practitioner | 2019-10-29 ~ 2021-02-28 |
| Matthew James | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MATTHEW D KASULKE.
| 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).