KYLANNE BERRY (Credential# 1413732) 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.
KYLANNE BERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065075. 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 11 Old Park Lane, New Milford, CT 06776. The current status is inactive.
| Licensee Name | KYLANNE BERRY |
| Credential ID | 1413732 |
| Credential Number | CSP.0065075 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
11 Old Park Lane New Milford CT 06776 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2017-03-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1403974 | 23.003801 | Physician Assistant | 2017-03-13 | 2018-12-01 - 2019-11-30 | INACTIVE |
| Street Address | 11 Old Park Lane |
| City | New Milford |
| State | CT |
| Zip Code | 06776 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Doreen M Konik Md | 11 Old Park Lane, New Milford, CT 06776 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jeffrey C Tyler | 11 Old Park Lane, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Levine Md | 11 Old Park Lane, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christian Leonardi | 11 Old Park Lane, New Milford, CT 06776 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tai Nguyen | 3 Briar Ln, New Milford, CT 06776 | Nail Technician | 2020-06-27 ~ 2022-05-31 |
| Deborah Lee Winter | 22 Morey Road, New Milford, CT 06776 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
| Sega Ready Mix | 519 Danbury Rd, New Milford, CT 06776 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nicole L Lynch | 13 Skyview Drive, New Milford, CT 06776 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Filipe Fialho Fernandes | 14 Wellsville Ave, New Milford, CT 06776 | Tattoo Technician | 2020-06-01 ~ 2022-05-31 |
| Petrela Nail & Spa Inc | 60 Park Lane Road, New Milford, CT 06776 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Carol S Glintenkamp | 12 Saddle Ridge Rd., New Milford, CT 06776 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bradley A Kamp | 11 Saddle Ridge Road, New Milford, CT 06776 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| John W Slattery | 8 West Meetinghouse Rd, New Milford, CT 06776 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Stephen J Ferreira | 123 Washington Ridge Road, New Milford, CT 06776 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Find all Licenses in zip 06776 | |||
| City | New Milford |
| Zip Code | 06776 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Milford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James R Berry | 211 Banks Rd, Easton, CT 06612-1627 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ryan M Colligan | 34 Berry St Apt 6g, Brooklyn, NY 11249-1041 | Controlled Substance Registration for Practitioner | 2019-06-03 ~ 2021-02-28 |
| Cecile Berry | 98 Charolais Way, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hollister L Berry Aprn | 55 Lock St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bethany R Berry Lnm | 22 Yelping Hill Rd, Cornwall, CT 06796 | Controlled Substance Registration for Practitioner | 2011-03-21 ~ 2013-02-28 |
| Stephanie Berry Aprn | 38 Dalewood Ave, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Ronald Berry Md | 222 West Las Colinas Boulevard, Irving, TX 75039 | Controlled Substance Registration for Practitioner | 2001-04-26 ~ 2002-02-28 |
| Diane Berry Aprn | 2305 Pinnacle Way, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Jon Berry Md | Naval Ambulatory Care Ctr Code 25, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Deborah Roth Berry | 467 Sylvan Knoll Road, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KYLANNE BERRY.
| 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).