KATHLEEN M BALANTIC (Credential# 1328923) 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.
KATHLEEN M BALANTIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061968. 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 221 Simpson Ln, Oakdale, CT 06370-1326. The current status is active.
| Licensee Name | KATHLEEN M BALANTIC |
| Credential ID | 1328923 |
| Credential Number | CSP.0061968 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
221 Simpson Ln Oakdale CT 06370-1326 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-01-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 647336 | 10.R47553 | Registered Nurse | 1991-12-02 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 1325034 | 12.006429 | Advanced Practice Registered Nurse | 2016-01-13 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 788266 | 7.001247 | Chiropractor | 1998-01-30 | 2013-02-01 - 2014-01-31 | INACTIVE |
| Street Address | 221 SIMPSON LN |
| City | OAKDALE |
| State | CT |
| Zip Code | 06370-1326 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory Allen Burnham | 271 Simpson Ln, Oakdale, CT 06370-1326 | Home Improvement Salesperson | 2019-12-20 ~ 2020-11-30 |
| Jonathan C Harvey | 257 Simpson Ln, Oakdale, CT 06370-1326 | Crane Operator | 2016-05-17 ~ 2018-05-16 |
| Pro Painting & Restoration LLC | 271 Simpson Ln, Oakdale, CT 06370-1326 | Home Improvement Contractor | 2018-12-01 ~ 2019-11-30 |
| Ryan Dicocco | 271 Simpson Ln, Oakdale, CT 06370-1326 | Home Improvement Contractor | 2011-07-27 ~ 2011-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brenna Lauren Jaskiewicz | 11 Michigan Circle, Oakdale, CT 06370 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Bronwyn Janine Mallam | 5 Daisy Hill Drive, Oakdale, CT 06370 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Victoria J Snarski | 1647 Rt 163, Oakdale, CT 06370 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Nicholas S Zawacki | 63 Georgia Road, Oakdale, CT 06370 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Anu Mathew | 1168 Old Colchester Road, Oakdale, CT 06370 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Andrew E Macierowski | 26 Spruce Ln, Oakdale, CT 06370 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Emily E Covill | 21 Pennsylvania Ave., Oakdale, CT 06370 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Chalisa Napierski | 742 Raymond Hill Road, Oakdale, CT 06370 | Real Estate Salesperson | ~ |
| Imre David Magyar I I I | 712 Raymond Hill Road, Oakdale, CT 06370 | Casino Class I Employee | 2020-01-10 ~ 2020-03-09 |
| Dana Dort | 11 Sandpiper Lane, Oakdale, CT 06370 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06370 | |||
| City | OAKDALE |
| Zip Code | 06370 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OAKDALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen A. Ennis | 30 Orchard St, Cos Cob, CT 06807-2403 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen Moltz Md | 40 Second Ave #170, Waltham, MA 02154 | Controlled Substance Registration for Practitioner | 1995-12-12 ~ 1997-02-28 |
| Kathleen E Titus Pa | Po Box 650, Fiskdale, MA 01518 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kathleen L Smith Md | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kathleen M Thayer | P O Box 284, Colebrook, CT 06021 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kathleen Thompson | 760 Mix Ave Apt 2e, Hamden, CT 06514-2210 | Controlled Substance Registration for Practitioner | 2019-11-15 ~ 2021-02-28 |
| Kathleen M Stuart | 3 Strathmore Ln, Westport, CT 06880-4732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen B Mantaro | 26 Coachlight Dr, Poughkeepsie, NY 12603-4241 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen Chan | 116 Crown St Apt 5b, New Haven, CT 06510-3044 | Controlled Substance Registration for Practitioner | 2015-06-23 ~ 2017-02-28 |
| Kathleen Coffin | 627 Chapel St Apt 4a, New Haven, CT 06511-6993 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATHLEEN M BALANTIC.
| 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).