KAITLIN C QUALLEN (Credential# 1665039) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
KAITLIN C QUALLEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063550-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 28 Edwards St # 1, New Haven, CT 06511-3955. The current status is active.
| Licensee Name | KAITLIN C QUALLEN |
| Credential ID | 1665039 |
| Credential Number | 1.063550-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
28 Edwards St # 1 New Haven CT 06511-3955 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-12 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1662633 | CSP.0071228 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-31 | 2019-05-31 - 2021-02-28 | ACTIVE |
| Street Address | 28 EDWARDS ST # 1 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3955 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aaron S Bower | 28 Edwards St # 1, New Haven, CT 06511-3955 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlin Farrell | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2017-08-01 ~ 2021-06-30 |
| Kaitlin M Renkosiak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Christine M Quallen | 37 Fairfax Avenue, West Hartford, CT 06119 | Notary Public Appointment | 2017-11-01 ~ 2022-10-31 |
| Kaitlin Viola Pa | 9 Partridge Trl, Sherman, CT 06784-1744 | Physician Assistant | 2014-09-01 ~ 2015-08-31 |
| Kaitlin A Bisceglie | 34 Maple St, Norwalk, CT 06850-3815 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Kaitlin G Kuzniewski | 22 Laura Drive, Danbury, CT 06811 | Physician Assistant | 2005-04-04 ~ 2005-12-31 |
| Kaitlin Coyle | 286 Richmond Ave, West Haven, CT 06516-5249 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Kaitlin Strumph | 136 Loomis Dr, West Hartford, CT 06107 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Kaitlin's Fund | 10 Autumn Circle, Rocky Hill, CT 06067 | Public Charity-exempt From Financial Requirements | ~ |
| Kaitlin G Pulito | 701 Enfield Street, Enfield, CT 06082 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on KAITLIN C QUALLEN.
| 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).