VIRGINIA KECK (Credential# 156643) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 19, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
VIRGINIA KECK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016515. The credential type is controlled substance registration for practitioner. The effective date is June 19, 2019. The expiration date is February 28, 2021. The business address is 389 Pine St, Middletown, CT 06457. The current status is active.
| Licensee Name | VIRGINIA KECK |
| Credential ID | 156643 |
| Credential Number | CSP.0016515 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
389 Pine St Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Effective Date | 2019-06-19 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547728 | 1.029346 | Physician/Surgeon | 1988-08-12 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 389 PINE ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard J Castriotta Md | Keck Medicine of Usc, Los Angeles, CA 90033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patricia A. Chandler | 22 Virginia St., Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Virginia H. Bass | 101 Catherie St, Newport, RI 02840 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Virginia A. Frontiero | 88 Cottage St Apt 3, New Haven, CT 06511-2404 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Virginia P Riggs Md | 15 Palomba Dr, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Virginia N Olson | 29 Stephen Tom Rd, Portland, CT 06480 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Virginia F Romano | 2 Belaire Dr, Westport, CT 06880-6402 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Virginia L Sherrick | 544 Wagon Trl, Orange, CT 06477-2166 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Virginia O Volpe | 9 Lake Ter, Woburn, MA 01801-6030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Virginia M Stuermer Md | 44 Wood Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on VIRGINIA KECK.
| 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).