LEONARD A KOLSTAD (Credential# 146285) 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.
LEONARD A KOLSTAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010444. 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 Po Box 580, Wallingford, CT 06492-0580. The current status is active.
Licensee Name | LEONARD A KOLSTAD |
Credential ID | 146285 |
Credential Number | CSP.0010444 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Po Box 580 Wallingford CT 06492-0580 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
543021 | 1.019467 | Physician/Surgeon | 1977-06-30 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | PO Box 580 |
City | WALLINGFORD |
State | CT |
Zip Code | 06492-0580 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ronald S Paret Md | Po Box 580, Wallingford, CT 06492-0580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Paul H Zimmering Md | Po Box 580, Wallingford, CT 06492-0580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jon C Driscoll | 863 North Main Street Ext, Wallingford, CT 06492-0580 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
Find all Licenses in zip 06492 |
City | WALLINGFORD |
Zip Code | 06492 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amy R Leonard | 44 Orange St Apt 617, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
Daniel J Leonard Iv | 826 Elm St, New Haven, CT 06511-4010 | Controlled Substance Registration for Practitioner | 2011-07-12 ~ 2013-02-28 |
Marcia W Leonard Md | P. O. Box 93, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Leonard Milstone | 94 Blake Rd, Hamden, CT 06517-3402 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Leonard I Leven Md | 3 West End Ave, Old Greenwich, CT 06870-1640 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Leonard J Moore | 64 Robbins St, Waterbury, CT 06708-2600 | Controlled Substance Registration for Practitioner | 2013-03-08 ~ 2015-02-28 |
Leonard W Stern | 41 Marvel Rd, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Leonard P Hellerman | 62 Bloomfield Ave, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Leonard Parente | 185 Braeside Dr, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 1995-11-17 ~ 1997-02-28 |
Ifeyinwa H Leonard | 31 Kingston St, Wethersfield, CT 06109-1317 | Controlled Substance Registration for Practitioner | 2019-12-05 ~ 2021-02-28 |
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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).