KEVIN P FITZSIMMONS PA (Credential# 1409363) 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.
KEVIN P FITZSIMMONS PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064926. 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 34 Edgemere Ave, West Hartford, CT 06110-1119. The current status is active.
| Licensee Name | KEVIN P FITZSIMMONS PA |
| Credential ID | 1409363 |
| Credential Number | CSP.0064926 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
34 Edgemere Ave West Hartford CT 06110-1119 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-02-28 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1033764 | 23.002648 | Physician Assistant | 2011-09-19 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1036454 | CSP.0051521 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-10-07 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 777891 | 54.000092 | Athletic Trainer | 2006-09-20 | 2009-10-01 - 2010-09-30 | INACTIVE |
| Street Address | 34 EDGEMERE AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-1119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine M Bruzik | 34 Edgemere Ave, West Hartford, CT 06110 | Notary Public Appointment | 1997-09-01 ~ 2002-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Trung Q Le | 46 Edgemere Ave, West Hartford, CT 06110-1119 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Simla Rayamajhi | 18 Edgemere Ave, West Hartford, CT 06110-1119 | Hairdresser/cosmetician | 2018-06-01 ~ 2020-05-31 |
| Chelsea B Hendricks | 86 Edgemere Ave, West Hartford, CT 06110-1119 | Registered Nurse | 2017-12-01 ~ 2018-11-30 |
| Audra S Celio | 14 Edgemere Ave, West Hartford, CT 06110-1119 | Licensed Clinical Social Worker | ~ |
| Emily T Tran | 46 Edgemere Ave, West Hartford, CT 06110-1119 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
| Apsara Thapa | 15 Lewis Lane, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Aneudi J Rodriguez Perez | 24 Elmhurt Circle, West Hartford, CT 06110 | Real Estate Salesperson | ~ |
| Frances B Gurtman Md | 445 S Main Street, West Hartford, CT 06110 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Diana M Rodriguez | 445 South Main St, West Hartford, CT 06110 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06110 | |||
| City | WEST HARTFORD |
| Zip Code | 06110 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin J Twohig | Kevin J Twohig Md, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin K Lee | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kevin J Gill Md | 3 Springvale Dr, Hollis, NH 03049-6013 | Controlled Substance Registration for Practitioner | 2011-01-14 ~ 2013-02-28 |
| Kevin A Lindell | 149 New Sweden Rd, Woodstock, CT 06281 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin Morine | 495 Williams St, Longmeadow, MA 01106-2059 | Controlled Substance Registration for Practitioner | ~ |
| Kevin J Yen | 111 Lawrence Street, Brooklyn, NY 11201 | Controlled Substance Registration for Practitioner | 2018-12-07 ~ 2019-02-28 |
| Kevin K So | 604 Lakewood Road, Waterbury, CT 06704 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin Ferguson | 91 Chestnut St, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kevin O Maher Md | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Kevin P Fitzmartin | 129 York St Apt 7a, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on KEVIN P FITZSIMMONS PA.
| 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).