KYLE DOUGLAS (Credential# 1654906) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 21, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KYLE DOUGLAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070843. The credential type is controlled substance registration for practitioner. The effective date is May 21, 2019. The expiration date is February 28, 2021. The business address is 42 Ellington St, Longmeadow, MA 01106-1430. The current status is active.
| Licensee Name | KYLE DOUGLAS |
| Credential ID | 1654906 |
| Credential Number | CSP.0070843 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
42 Ellington St Longmeadow MA 01106-1430 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-21 |
| Effective Date | 2019-05-21 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-05-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1659100 | 2.012529-RES | Resident Dentist | 2019-06-24 | 2019-06-24 - 2020-06-23 | INACTIVE |
| Street Address | 42 ELLINGTON ST |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-1430 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grazyna A Vincunas | 48 Ellington St, Longmeadow, MA 01106-1430 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Merilee F Costello | 112 Ellington St, Longmeadow, MA 01106-1430 | Controlled Substance Registration for Practitioner | 2019-12-17 ~ 2021-02-28 |
| Francis Cannizzo | 140 Ellington St, Longmeadow, MA 01106-1430 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyle J Fuller | Po Box 530, Wauregan, CT 06387-0530 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kyle P Mccormack Pa | 50 Kuhr Dr, Southington, CT 06489-4433 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kyle M Bonura | 106 Guinevere Rdg, Cheshire, CT 06410-1540 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kyle Maurer | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Wesley C Kyle | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kyle S Ahn | 73 Little Oak Lane, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kyle Sanders | 34 Maple St, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kyle C Walker | 100 Kilsyth Rd Apt 5, Brighton, MA 02135-7820 | Controlled Substance Registration for Practitioner | 2015-06-03 ~ 2017-02-28 |
| Kyle E Pfeifer | 58 N Humiston Dr, Bethany, CT 06524-3115 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kyle A Baker | 1 Grove St, New Britain, CT 06053-4116 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KYLE DOUGLAS.
| 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).