JOSEPH A KEBISEK
Controlled Substance Registration for Practitioner


Address: 321 Mulberry Dr, Delafield, WI 53018-1070

JOSEPH A KEBISEK (Credential# 1424766) 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

JOSEPH A KEBISEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065450. 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 321 Mulberry Dr, Delafield, WI 53018-1070. The current status is active.

Basic Information

Licensee Name JOSEPH A KEBISEK
Credential ID 1424766
Credential Number CSP.0065450
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 321 Mulberry Dr
Delafield
WI 53018-1070
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-05-31
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-19

Other licenses

ID Credential Code Credential Type Issue Term Status
1488580 1.057975-RES Resident Physician 2017-07-01 2017-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 321 MULBERRY DR
City DELAFIELD
State WI
Zip Code 53018-1070

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Timothy P Gibbons 2364 Woodland Pk Dr, Delafield, WI 53018 Architect 2020-08-01 ~ 2021-07-31
Jennifer J Emma 411 Bleeker Street Apt 305, Delafield, WI 53018 Registered Nurse 2020-07-01 ~ 2021-06-30
Conrad Ettmayer S12 W 31664 Glacier Pass, Delafield, WI 53018 Professional Engineer 2005-02-01 ~ 2006-01-31
Pastors Retreat Network P.o. Box 180455, Delafield, WI 53018 Public Charity 2009-06-30 ~ 2010-05-31
I Back Jack Foundation Inc · Gold In September 709 Milwaukee St Ste A, Delafield, WI 53018-1519 Public Charity 2013-06-01 ~
Stephanie H Delmore N2w31860 Twin Oaks Drive, Delafield, WI 53018-2855 Professional Counselor 2003-01-15 ~ 2004-01-31
Kenneth R Stock S14w32155 Boys School Rd, Delafield, WI 53018-3453 Professional Engineer 2013-02-01 ~ 2014-01-31

Competitor

Search similar business entities

City DELAFIELD
Zip Code 53018
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DELAFIELD

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Joseph I Matthews Md 385 S End Ave Apt 3b, New York, NY 10280-1039 Controlled Substance Registration for Practitioner 2011-08-01 ~ 2013-02-28
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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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