KAYLA ENNIS CUNNINGHAM (Credential# 1374888) 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.
KAYLA ENNIS CUNNINGHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063887. 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 688 East Main Street, Branford, CT 06405-2988. The current status is active.
| Licensee Name | KAYLA ENNIS CUNNINGHAM |
| Credential ID | 1374888 |
| Credential Number | CSP.0063887 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
688 East Main Street Branford CT 06405-2988 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-08-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1364991 | 1.055626 | Physician/Surgeon | 2016-08-17 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 688 East Main Street |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-2988 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Shore District Health Department | 688 East Main Street, Branford, CT 06405 | Outpatient Clinic | 2017-10-27 ~ 2021-09-30 |
| Philip A Goldberg Md | 688 East Main Street, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Optical Shop | 6 Business Park Dr Ste 102, Branford, CT 06405-2988 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
| Kristi V Maynard | 6 Business Park Dr, Branford, CT 06405-2988 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David J Young | 6 Business Park Dr Ste 302, Branford, CT 06405-2988 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD |
| 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 |
| Everol M Ennis Jr | 196 Woodland Dr, Cheshire, CT 06410-1645 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronald Ennis Md | 622 W 168th St, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2004-03-03 ~ 2005-02-28 |
| William H Ennis | 2625 Park Ave, Bridgeport, CT 06604-1322 | Controlled Substance Registration for Practitioner | 2015-07-06 ~ 2017-02-28 |
| Kayla S Mazer Dds | 61 4th St, Stamford, CT 06905-5010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Crystal D Cunningham | 89 Swanson Dr, Bristol, CT 06010-3153 | Controlled Substance Registration for Practitioner | 2019-07-18 ~ 2021-02-28 |
| Kayla R Curtis | 32 Bernadette Ln, Durham, CT 06422-2822 | Controlled Substance Registration for Practitioner | 2019-09-24 ~ 2021-02-28 |
| Melanie Joy Cunningham Aprn | 215 Kelly's Dam Rd, Danville, PA 17821 | Controlled Substance Registration for Practitioner | 2011-11-17 ~ 2013-02-28 |
| Kayla L St Amour | 228 Wheatley Street, Killingly, CT 06239 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kayla Marie Murphy | 139 W Canada Apt B, San Clemente, CA 92672-4686 | Controlled Substance Registration for Practitioner | 2019-12-09 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KAYLA ENNIS CUNNINGHAM.
| 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).