KATHERINE CAROL DAVIS (Credential# 1456535) 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.
KATHERINE CAROL DAVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066982. 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 347 Darling Road, Salem, CT 06420. The current status is active.
| Licensee Name | KATHERINE CAROL DAVIS |
| Credential ID | 1456535 |
| Credential Number | CSP.0066982 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
347 Darling Road Salem CT 06420 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-10-17 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1435037 | 12.007242 | Advanced Practice Registered Nurse | 2017-09-20 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1435036 | 10.145121 | Registered Nurse | 2017-09-20 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1438820 | 10.143553-TEMP | Registered Nurse - Temporary | 2017-07-24 | 2017-07-24 - 2017-11-20 | INACTIVE |
| Street Address | 347 Darling Road |
| City | Salem |
| State | CT |
| Zip Code | 06420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra I Delorimiere | 322 Round Hill Road, Salem, CT 06420 | Real Estate Salesperson | ~ |
| Darci J Smith | 25 Salem Ridge Drive, Salem, CT 06420 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Pamela Minella | 135 Sullivan Rd., Salem, CT 06420 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
| Alfreda Shapere · Bingham | 170 Darling Rd, Salem, CT 06420 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Paul A Pudimat Md | 61 Emerald Glen Lane, Salem, CT 06420 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas J Butcher | 248 Norwich Road, Salem, CT 06420 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Destiny Faye Henkel | 65 Horse Pond Rd, Salem, CT 06420 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-13 |
| Kevin R Fennell | 105 Witter Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Scott D Pellerin | 301 Rattlesnake Ledge Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Salem Prime Cuts Inc · John Fusaro Jr | 12 New London Rd, Salem, CT 06420 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06420 | |||
| City | Salem |
| Zip Code | 06420 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Salem |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| W Bradley Davis Dvm | Davis Companion Animal Hospital, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine E Gaudet | Po Box 550, Somersville, CT 06072-0550 | Controlled Substance Registration for Practitioner | 2017-01-19 ~ 2019-02-28 |
| Katherine Prioli | P.o.box 346, Uncasville, CT 06382-0346 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Katherine Y Lee | 840 Flintlock Rd, Southport, CT 06890-3044 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katherine Gregersen | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2013-04-25 ~ 2015-02-28 |
| Katherine Polk Dvm | 44 Roe Ave, North Hampton, MA 01060 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Katherine A Gielissen | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Katherine A Kevill | 123 York St 19b, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Katherine C Michaelsen | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Katherine Miciak | 113 Gannet Dr, Southington, CT 06489-1717 | Controlled Substance Registration for Practitioner | 2020-06-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATHERINE CAROL DAVIS.
| 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).