KELLIE A FORD (Credential# 1301547) 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.
KELLIE A FORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061071. 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 25 Richard Rd, Manchester, CT 06040-4009. The current status is active.
| Licensee Name | KELLIE A FORD |
| Credential ID | 1301547 |
| Credential Number | CSP.0061071 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
25 Richard Rd Manchester CT 06040-4009 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1295658 | 12.006161 | Advanced Practice Registered Nurse | 2015-07-21 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 579228 | 10.075224 | Registered Nurse | 2005-03-15 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 25 Richard Rd |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4009 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zoila Diaz-jones | 29 S Hawthorne St, Manchester, CT 06040-4009 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Joseph W Hopkins | 85 Hawthorne St, Manchester, CT 06040-4009 | Plumbing & Piping Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kellie A Park | 675 Townsend Ave Unit 124, New Haven, CT 06512-3176 | Controlled Substance Registration for Practitioner | 2013-03-21 ~ 2015-02-28 |
| Kellie Snider | 118 Clark Gates Rd, Moodus, CT 06469-1223 | Controlled Substance Registration for Practitioner | 2020-06-24 ~ 2021-02-28 |
| Kellie A Motschmann Md | 23 Briar Hill, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kellie M Levin-brown Dvm | 97 Hunting Ridge Rd, Stamford, CT 06903-3227 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin R Mcconnell | 65 Ford St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 1992-12-07 ~ 1995-01-01 |
| Camille N Raad Md | 126 Ford St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2009-05-21 ~ 2011-02-28 |
| Danailourdes Louis | 36 Ford St, Hamden, CT 06517-2508 | Controlled Substance Registration for Practitioner | 2019-06-25 ~ 2021-02-28 |
| Michael Reed | 67 Ford St, Hamden, CT 06517-2538 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| David H Ellison Md | 191 Ford Rd, Woddbridge, CT 06525 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Bryce A Ford Md | 33 Cedar St, New Haven, CT 06520-8061 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on KELLIE A FORD.
| 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).