DERMATOLOGY AT CANTON (Credential# 1284021) 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.
DERMATOLOGY AT CANTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060212. 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 117 Albany Tpke, Canton, CT 06019-2507. The current status is active.
| Licensee Name | DERMATOLOGY AT CANTON |
| Business Name | DERMATOLOGY AT CANTON |
| Doing Business As | KIMBERLY METCALF |
| Credential ID | 1284021 |
| Credential Number | CSP.0060212 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
117 Albany Tpke Canton CT 06019-2507 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-05-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-17 |
| Street Address | 117 ALBANY TPKE |
| City | CANTON |
| State | CT |
| Zip Code | 06019-2507 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kendra M Damon-smith | 117 Albany Tpke, Canton, CT 06019-2507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Urgent Care At Canton · Kimberly Metcalf | 117 Albany Tpke, Canton, CT 06019-2507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cvs Pharmacy #2253 | 111 Albany Tpke, Canton, CT 06019-2507 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
| Joanne R Dirusso | 65a Albany Tpke, Canton, CT 06019-2507 | Massage Therapist | 2018-07-01 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | CANTON |
| Zip Code | 06019 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CANTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dermatology At Farmington · Kimberly Metcalf | 21 South Rd, Farmington, CT 06032-2482 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laura Van Why Md | Savin Dermatology Center, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Alicia J Little | 333 Cedar St, Dept of Dermatology, New Haven, CT 06520-8059 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brittany Craiglow | Yale Dermatology, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher W Norwood Md | Department of Dermatology, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John B Kelly IIi | Uconn Department of Dermatology, Farmington, CT 06030-6231 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Laurie Bain Md | C/o New England Dermatology Assoc., Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth A Buscher Md | Dermatology Associates of Western Connecticut, Newtown, CT 06470-1408 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Earl J Glusac Md | Yale School of Medicine/dermatology, New Haven, CT 06520-8059 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alicia D Beck Pa | Saybrook Dermatology, Old Saybrook, CT 06475 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DERMATOLOGY AT CANTON.
| 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).