KAISER PERMANENTE
Controlled Substance Registration for Practitioner


Address: 130 Hartford Rd, Manchester, CT 06040-5921

KAISER PERMANENTE (Credential# 160983) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

KAISER PERMANENTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017664. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is 130 Hartford Rd, Manchester, CT 06040-5921. The current status is inactive.

Basic Information

Licensee Name KAISER PERMANENTE
Business Name KAISER PERMANENTE
Credential ID 160983
Credential Number CSP.0017664
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 130 Hartford Rd
Manchester
CT 06040-5921
Business Type BUSINESS
Status INACTIVE
Effective Date 2000-02-29
Expiration Date 2001-02-28
Refresh Date 2009-01-26

Other locations

Licensee Name Office Address Credential Effective / Expiration
Kaiser Permanente 299 Farmington Avenue, Farmington, CT 06032 Controlled Substance Registration for Practitioner 1993-12-06 ~ 1995-12-01

Office Location

Street Address 130 HARTFORD RD
City MANCHESTER
State CT
Zip Code 06040-5921

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Austin Bass 130 Hartford Rd, Manchester, CT 06040-5921 Resident Physician 2019-07-01 ~ 2022-06-30
Bliss Yoon 130 Hartford Rd, Manchester, CT 06040-5921 Physician/surgeon 2020-06-01 ~ 2021-05-31
Alexandra E Zacchera 130 Hartford Rd, Manchester, CT 06040-5921 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Sabesan Karuppiah 130 Hartford Rd, Manchester, CT 06040-5921 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Omobola Onikoyi 130 Hartford Rd, Manchester, CT 06040-5921 Resident Physician 2018-07-01 ~ 2019-06-30
Victor E Korang Md 130 Hartford Rd, Manchester, CT 06040 Physician/surgeon 2010-06-01 ~ 2011-05-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
New Hope Manor Inc 48 Hartford Rd, Manchester, CT 06040-5921 Public Charity 2011-12-01 ~ 2013-05-31
Fuss & O'neill Inc 146 Hartford Rd, Manchester, CT 06040-5921 Joint Practice 2020-05-01 ~ 2021-04-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mary Fosuah Nketia 61 Cougar Drive, Manchester, CT 06040 Registered Nurse 2020-08-01 ~ 2021-07-31
New Seasons Inc. 164 East Center Street, Manchester, CT 06040 Public Charity 2019-06-01 ~ 2020-05-31
Kaylen Lam 60 Chlistone Lane, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Matilde Altamirano 415 Gardner Street, Manchester, CT 06040 Nail Technician 2020-06-27 ~ 2022-04-30
Meilan Meilan Chen 174 Middle Tpke, Manchester, CT 06040 Nail Technician ~
Prince Acheampong 32 Bigelow Street, Manchester, CT 06040 Notary Public Appointment ~
Erin C Boyle 470 Porter Street, Manchester, CT 06040 Registered Nurse 2020-07-01 ~ 2021-06-30
Dejone Mitchell 64 Ruby Dr Apt. P, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Tabia Thornton-bey 103 Walek Farms Road, Manchester, CT 06040 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06040

Competitor

Search similar business entities

City MANCHESTER
Zip Code 06040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER

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Joe Marion Md Kaiser Permanente, Windsor, CT 06095 Controlled Substance Registration for Practitioner 2000-02-29 ~ 2001-02-28
Kaiser Permanente Pharmacy #985 9521 Dalen St, Downey, CA 90242-4847 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
Suzie E Schuder Md · Kaiser Permanente 780 Summer Street, Stamford, CT 06901 Controlled Substance Registration for Practitioner 1996-03-01 ~ 1997-02-28
Kaiser Permanente Wa Mail Order Pharmacy 2921 Naches Ave Sw, Renton, WA 98057-2617 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
Kaiser Permanente Sterling Automated Refill Center 22370 Davis Dr, Sterling, VA 20164-5367 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
Lucia S Whie-grayson Kaiser Permanente, Downey, CA 90241 Physician/surgeon 1999-11-12 ~ 2001-01-31
Kathryn M Palmer Kaiser Permanente, Falls Church, VA 22046 Physician/surgeon 2009-05-08 ~ 2010-06-30
Theodore Bruno Md · C/o Kaiser Permanente 5 Tarry Town Lane, Niantic, CT 06357 Physician/surgeon 2019-12-01 ~ 2020-11-30
Kaiser Permanante 2080 Silas Deane Hwy, Rocky Hill, CT 06067-2334 Controlled Substance Registration for Practitioner 1999-03-01 ~ 2000-02-28

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Dataset Information

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).

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