ASHLYN R KALIES
Controlled Substance Registration for Practitioner


Address: 44 Washington St Apt 610, Brookline, MA 02445-7105

ASHLYN R KALIES (Credential# 1424732) 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.

Business Overview

ASHLYN R KALIES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065440. 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 44 Washington St Apt 610, Brookline, MA 02445-7105. The current status is active.

Basic Information

Licensee Name ASHLYN R KALIES
Credential ID 1424732
Credential Number CSP.0065440
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 44 Washington St Apt 610
Brookline
MA 02445-7105
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-05-24
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-11

Other licenses

ID Credential Code Credential Type Issue Term Status
1488569 1.057964-RES Resident Physician 2017-06-28 2017-06-28 - 2020-06-30 ACTIVE

Office Location

Street Address 44 WASHINGTON ST APT 610
City BROOKLINE
State MA
Zip Code 02445-7105

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Competitor

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City BROOKLINE
Zip Code 02445
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLINE

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Dataset Information

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).

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