KEVIN GREGG BILLINGSLEY (Credential# 1800286) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 15, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KEVIN GREGG BILLINGSLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072646. The credential type is controlled substance registration for practitioner. The effective date is November 15, 2019. The expiration date is February 28, 2021. The business address is 14536 Pfeifer Dr, Lake Oswego, OR 97035-2409. The current status is active.
| Licensee Name | KEVIN GREGG BILLINGSLEY |
| Credential ID | 1800286 |
| Credential Number | CSP.0072646 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
14536 Pfeifer Dr Lake Oswego OR 97035-2409 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-15 |
| Effective Date | 2019-11-15 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-11-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1692265 | 1.064587 | Physician/Surgeon | 2019-11-15 | 2019-11-15 - 2020-09-30 | ACTIVE |
| Street Address | 14536 PFEIFER DR |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-2409 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lore H Cassidy | 4368 Lakeview Blvd., Lake Oswego, OR 97035 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| John M Dragelin | 4305 Upper Drive, Lake Oswego, OR 97035 | Professional Engineer | 2011-02-01 ~ 2012-01-31 |
| James Thomas Sears | 11 Masaryk, Lake Oswego, OR 97035 | Engineer-in-training | 1999-02-09 ~ 2009-02-09 |
| Sue-chin Liu | 5842 Stewart Glenn, Lake Oswego, OR 97035 | Dentist | 2001-11-01 ~ 2002-11-30 |
| Margaret J Graveley | 15923 Sw Twin Fir Rd, Lake Oswego, OR 97035 | Registered Nurse | 2003-04-28 ~ 2004-04-30 |
| Larry P Bornstein | 12311 S W Orchard Hill Rd, Lake Oswego, OR 97035 | Plumbing & Piping Limited Contractor | 1996-12-13 ~ 1997-10-31 |
| Paul Joseph Crebase | 156 Del Prado, Lake Oswego, OR 97035 | Pharmacist | ~ |
| Macy W Woodside · Shaffer | 86 Kingsgate Rd, Lake Oswego, OR 97035-1395 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Erica P Nishitani | 4028 Orchard Dr, Lake Oswego, OR 97035-2406 | Registered Nurse | 2010-06-10 ~ 2011-01-31 |
| Brian D Lind | 5831 Seville Ave, Lake Oswego, OR 97035-4545 | Landscape Architect | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 97035 | |||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LAKE OSWEGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alicia A Romeo Md | 501 Billingsley Rd, Charlotte, NC 28211 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Monika M Safford | 6 Billingsley Dr, Livingston, NJ 07039 | Controlled Substance Registration for Practitioner | 1995-01-18 ~ 1996-02-28 |
| Ana G. Lizama | 5089 Gregg Way, Auburn, CA 95602-9697 | Controlled Substance Registration for Practitioner | 2019-12-26 ~ 2021-02-28 |
| Gregg Fine Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Gregg O Wilcox Dmd | 23 Wauregan Rd, Brooklyn, CT 06234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregg A. Miller | 260 W Broadway Apt 4d, Long Beach, NY 11561-3941 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregg W Stone | 21 Wyckham Hill Ln, Greenwich, CT 06831-3049 | Controlled Substance Registration for Practitioner | 2010-02-23 ~ 2011-02-28 |
| Shea C. Gregg | 16 Surrey Lane, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregg Henry Zoarski | 1305 Lundy Ln, Bel Air, MD 21015-6356 | Controlled Substance Registration for Practitioner | 2019-09-09 ~ 2021-02-28 |
| Gregg L Smith Md | 852 High Point Drive, Claremont, CA 91711 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
Please comment or provide details below to improve the information on KEVIN GREGG BILLINGSLEY.
| 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).