KATHLEEN A KOENIG APRN (Credential# 157437) 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.
KATHLEEN A KOENIG APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019632. 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 147 Fairwood Rd, Bethany, CT 06524. The current status is active.
| Licensee Name | KATHLEEN A KOENIG APRN |
| Credential ID | 157437 |
| Credential Number | CSP.0019632 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
147 Fairwood Rd Bethany CT 06524 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-11 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 678490 | 12.000298 | Advanced Practice Registered Nurse | 1991-04-09 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 643432 | 10.R41308 | Registered Nurse | 1987-05-01 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 147 FAIRWOOD RD |
| City | BETHANY |
| State | CT |
| Zip Code | 06524 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine M Ford · Porto | 78 Tuttle Court, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Erin Mcknight | 24 Timber Ln, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cheryl A Bevvino | 106 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Catherine Geloso | 19 Amadeo Drive, Bethany, CT 06524 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Patricia Burke | 12 Miller Rd, Bethany, CT 06524 | Veterinarian | 2020-09-01 ~ 2021-08-31 |
| Complete Excavating Services LLC | 674 Amity Rd, Bethany, CT 06524 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Brian K Coutermarsh | 32 Emerald Lane, Bethany, CT 06524 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Michelle L Amato | 172 Russell Rd, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Joseph L Colaci | 57 Edwards Road, Bethany, CT 06524 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
| Karen C Praskievicz | 85 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06524 | |||
| City | BETHANY |
| Zip Code | 06524 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BETHANY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vivien E Koenig Aprn | South West Community Health Center, Bridgeport, CT 06605 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Kathleen P Carius Aprn | 75 Oak Bluff Ave, Stratford, CT 06615-7714 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen Stone Aprn | 2 Maplewood Rd, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kathleen J Eckman Aprn | 106 Sandhurst Dr, Lafayette, LA 70508-6541 | Controlled Substance Registration for Practitioner | 2009-05-06 ~ 2011-02-28 |
| Kathleen M Bannon Aprn | 54 St Moritz Circle, Willington, CT 06279 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kathleen A Salomone Aprn | 138 Ballyhoo Street, Georgetown, SC 29440 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kathleen R Bonin Aprn | 35 Spruce Lane, Oakdale, CT 06370 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen O'leary Aprn | 592 Country Club Rd, Avon, CT 06001-2321 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen A Dishner Aprn | 180 Beech Hill Rd, Rockport, ME 04856-4623 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kathleen A Parker Aprn | 47 Ives Rd, East Greenwich, RI 02818-4816 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on KATHLEEN A KOENIG APRN.
| 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).