CAPTAIN KING GRAY (Credential# 1453112) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 28, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
CAPTAIN KING GRAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066873. The credential type is controlled substance registration for practitioner. The effective date is September 28, 2017. The expiration date is February 28, 2019. The business address is 1903 Quail Creek Dr, Lawrence, KS 66047-2138. The current status is lapsed.
| Licensee Name | CAPTAIN KING GRAY |
| Credential ID | 1453112 |
| Credential Number | CSP.0066873 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1903 Quail Creek Dr Lawrence KS 66047-2138 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2017-09-28 |
| Effective Date | 2017-09-28 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1374252 | 1.056083 | Physician/Surgeon | 2017-01-18 | 2017-11-01 - 2018-10-31 | INACTIVE |
| Street Address | 1903 QUAIL CREEK DR |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66047-2138 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul T. Mason | 1137 East 1264 Road, Lawrence, KS 66047 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Scott A Harrison | 978 East 787 Rd, Lawrence, KS 66047 | Electrical Limited Contractor | ~ |
| Ida M Casey | 2737 Meadow Pl, Lawrence, KS 66047 | Registered Nurse | 1999-08-26 ~ 2000-10-31 |
| Erin Tuttle | 2716 Meadow Drive, Lawrence, KS 66047 | Registered Nurse | 2007-05-29 ~ 2007-09-30 |
| Lain G Rajewski | 4628 Muirfield Dr, Lawrence, KS 66047 | Pharmacist | 1997-02-01 ~ 1998-01-31 |
| Rajeev R Trehan | 4809 Innsbrook Drive, Lawrence, KS 66047-1985 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| American Fallen Warrior Memorial Foundation · Afwmf, Gold Star Wall | 3514 Clinton Pkwy Ste 370, Lawrence, KS 66047-2145 | Public Charity | 2013-09-01 ~ 2015-02-28 |
| Peggy Sue Wilson | 2815 Four Wheel Dr, Lawrence, KS 66047-3061 | Registered Nurse | 2019-11-01 ~ 2020-11-30 |
| Kansas University Endowment Association (the) | 1891 Constant Ave, Lawrence, KS 66047-3743 | Public Charity-exempt From Financial Requirements | ~ |
| Kansas University Endowment Association | 1891 Constant Ave, Lawrence, KS 66047-3743 | Public Charity-exempt From Financial Requirements | 2010-10-08 ~ |
| Find all Licenses in zip 66047 | |||
| City | LAWRENCE |
| Zip Code | 66047 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LAWRENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katie Schlecker | 14 Captain Amos Stanton Dr, Ledyard, CT 06339-1750 | Controlled Substance Registration for Practitioner | 2019-08-27 ~ 2021-02-28 |
| Peter C Brown | 67 Captain Joshua Lane, Norwell, MA 02061 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Allison N Baylis | 141 Captain Thomas Blvd, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roberto A Miki | 140 Captain Thomas Blvd 401, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Stephen R Gray | 7 Blackstone Ct, Danbury, CT 06811-3875 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| F Scott Gray | 33 Hospital Ave, Danbury, CT 06810-6007 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey Gray Dmd | 155 Meadow St, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robyn A Gray | 1 Wardrobe Rd, Hanover, NH 03755 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James P Gray | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Latisha M Gray Pa | 72 Cogswell St, Bridgeport, CT 06610-1945 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on CAPTAIN KING GRAY.
| 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).