KELLY GULLOTTA (Credential# 1393104) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 9, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KELLY GULLOTTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064456. The credential type is controlled substance registration for practitioner. The effective date is April 9, 2020. The expiration date is February 28, 2021. The business address is Po Box 465, Brownsville, VT 05037-0465. The current status is active.
| Licensee Name | KELLY GULLOTTA |
| Credential ID | 1393104 |
| Credential Number | CSP.0064456 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 465 Brownsville VT 05037-0465 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-12-21 |
| Effective Date | 2020-04-09 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1382169 | 1.055918 | Physician/Surgeon | 2016-11-17 | 2020-03-04 - 2020-09-30 | ACTIVE |
| Street Address | PO BOX 465 |
| City | BROWNSVILLE |
| State | VT |
| Zip Code | 05037-0465 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John H Nesbitt | 841 Westgate Road, Brownsville, VT 05037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard J Beatty | 931 Bible Hill Road, Brownsville, VT 05037 | Notary Public Appointment | 2016-09-01 ~ 2021-08-31 |
| Janet F Weidner | 872 Ski Tow Rd, Brownsville, VT 05037 | Real Estate Salesperson | 2009-06-01 ~ 2010-05-31 |
| Jennifer Ann Christoffers | P.o. Box 470, Brownsville, VT 05037 | Registered Nurse | 2006-05-23 ~ 2007-07-31 |
| Maria C Bell | Po Box 24, Brownsville, VT 05037 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Laura D Page | P.o. Box 395, Brownsville, VT 05037 | Real Estate Broker | 2017-04-01 ~ 2018-03-31 |
| Jesse G Futterleib | Po Box 432, Brownsville, VT 05037 | Repairer of Weighing & Measuring Devices | 2014-01-01 ~ 2014-12-31 |
| Patricia Rivera | P O Box 281, Brownsville, VT 05037 | Hairdresser/cosmetician | 2003-11-19 ~ 2005-01-31 |
| Nancy S Loux | Po Box 375, Brownsville, VT 05037 | Registered Nurse | 1992-01-23 ~ 1992-12-31 |
| Alan C Keiller | Po Box 193, Brownsville, VT 05037-0193 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 05037 | |||
| City | BROWNSVILLE |
| Zip Code | 05037 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROWNSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly M Ferjentsik | 34 Little Fox Ln, Monroe, CT 06468-1607 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly M. Doran Md | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kelly J Way | 34 B Springbrook Rd, Westerly, RI 02891 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly M Deforest | 267 Rte 87, Columbia, CT 06237 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly Davis | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kelly Brogan | 280 Madison Ave, New York, NY 10016-0801 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Syed S A Hasni Md | 24 Kelly Dr, Marlton, NJ 08053-9701 | Controlled Substance Registration for Practitioner | 2011-03-07 ~ 2013-02-28 |
| Carolyn A Kelly | 3 Mountain Dr, New Milford, CT 06776-4725 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly Weikert | 47 Avonwood Rd Apt 218, Avon, CT 06001-2015 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kelly K Bishop-bartolomei Md | Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on KELLY GULLOTTA.
| 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).