KELLY MEAD (Credential# 1437158) 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.
KELLY MEAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066262. 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 Beldenwood Street, Simsbury, CT 06070-1265. The current status is active.
Licensee Name | KELLY MEAD |
Credential ID | 1437158 |
Credential Number | CSP.0066262 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
34 Beldenwood Street Simsbury CT 06070-1265 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-07-15 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
742081 | 23.000332 | Physician Assistant | 1993-11-05 | 2019-10-01 - 2020-09-30 | ACTIVE |
Street Address | 34 BELDENWOOD STREET |
City | SIMSBURY |
State | CT |
Zip Code | 06070-1265 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pamela Dawn Mckenna | 26 Hampden Cir, Simsbury, CT 06070-1265 | Behavior Analyst | 2020-06-01 ~ 2021-05-31 |
Thomas Gurney · Six Barns Bakehouse | 18 Hampden Cir, Simsbury, CT 06070-1265 | Cottage Food Operation | 2020-02-29 ~ 2021-02-28 |
Todd A Cooperman | 8 Hampden Cir, Simsbury, CT 06070-1265 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Margaret M Statile | 28 Hampden Cir, Simsbury, CT 06070-1265 | Pharmacy Technician | 2014-01-30 ~ 2015-03-31 |
Jennifer Calzarette | 10 Hampden Cir, Simsbury, CT 06070-1265 | Emergency Medical Technician | 2017-09-12 ~ 2020-04-01 |
Rita B Richardson | 26 Hampden Cir, Simsbury, CT 06070-1265 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
Leo J Voghel | 18 Hampden Cir, Simsbury, CT 06070-1265 | Real Estate Salesperson | 2013-06-01 ~ 2014-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06070 |
City | SIMSBURY |
Zip Code | 06070 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SIMSBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John P Mead | 114 Augur St, Hamden, CT 06517-3450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Janice Lee | 29 River Mead, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert E Mead Dds | 152 Main St, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Michelle A Mead | 326 Washington St, Norwich, CT 06360-2740 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shiela Mitchell Md | 526 River Rd, Belle Mead, NJ 08502 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
John C Smulian | 23 Heritage Way, Belle Mead, NJ 08502 | Controlled Substance Registration for Practitioner | 1994-02-03 ~ 1996-02-01 |
Ian A Mitchell Md | 526 River Road, Belle Mead, NJ 08502 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Marcia B Bull | 22 Mead Street, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Maryann G Couch | 221 Berkley Ave, Belle Mead, NJ 08502 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Paul P Possenti Pa | 6 Mead Farm Road, Seymour, CT 06483 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KELLY MEAD.
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).