KAITLIN M KEENAN (Credential# 1352205) 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 INACTIVE.
KAITLIN M KEENAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062598. 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 5 Fireplace Dr, Kings Park, NY 11754-1748. The current status is inactive.
| Licensee Name | KAITLIN M KEENAN |
| Credential ID | 1352205 |
| Credential Number | CSP.0062598 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Fireplace Dr Kings Park NY 11754-1748 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2016-06-30 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1489982 | 1.058629-RES | Resident Physician | 2016-06-28 | 2016-06-28 - 2019-06-30 | INACTIVE |
| Street Address | 5 FIREPLACE DR |
| City | KINGS PARK |
| State | NY |
| Zip Code | 11754-1748 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia A Ropke | 64 Whittier Drive, Kings Park, NY 11754 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Shahin M Shirangi | Po Box 99, Kings Park, NY 11754 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Thomas P Schaefer | 6 Bralo Ct, Kings Park, NY 11754 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Kathi-ann Vassallo | 17 Thistle Lane, Kings Park, NY 11754 | Notary Public Appointment | 2000-05-16 ~ 2005-05-31 |
| Jet Home Improvement Inc | 46 Pulaski Road, Kings Park, NY 11754 | Home Improvement Contractor | 2002-12-19 ~ 2003-11-30 |
| John R Donahue | 7 Ann Court, Kings Park, NY 11754 | Professional Engineer | 1800-12-27 ~ 1990-01-31 |
| George M Rehrl | 5 Meldoy Ln, Kings Park, NY 11754 | Professional Engineer | 1998-02-23 ~ 1999-01-31 |
| Sandra A Aguece | 43 Knight Lane, Kings Park, NY 11754 | Registered Nurse | 2014-08-01 ~ 2015-07-31 |
| Clare E. Cella | 14 King Road, Kings Park, NY 11754 | Certified Public Accountant License | 2014-01-01 ~ 2014-12-31 |
| Richard C Collett | 11 Bowman Lane, Kings Park, NY 11754 | Home Inspector | 2011-08-02 ~ 2013-06-30 |
| Find all Licenses in zip 11754 | |||
| City | KINGS PARK |
| Zip Code | 11754 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KINGS PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlin Eng | 129 York St Apt 8-0, New Haven, CT 06511-5608 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kaitlin E Corbo | 12 W Rock Rd, Trumbull, CT 06611-1641 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlin Ann O'connor | 247 Broad St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlin Haines | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christine Keenan | 7 Southview Drive, Sherman, CT 06784 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas J Keenan | 8 Crescent Hill, Springfield, MA 01105 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Peter Keenan | Emergency Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Casey Keenan | 164 Home Acres Ave, Milford, CT 06460-6415 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlin Finley Salkeld | 24 Godiva Ln, Coventry, CT 06238-1575 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlin A Balestriere | 11 Randy Road, Milford, CT 06461 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).