KIRSTEN M ANDERSON MD (Credential# 190829) 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.
KIRSTEN M ANDERSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026475. 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 80 Cesca Lane, Durham, CT 06422. The current status is active.
| Licensee Name | KIRSTEN M ANDERSON MD |
| Credential ID | 190829 |
| Credential Number | CSP.0026475 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
80 Cesca Lane Durham CT 06422 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553992 | 1.036400 | Physician/Surgeon | 1997-09-26 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 80 CESCA LANE |
| City | DURHAM |
| State | CT |
| Zip Code | 06422 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan A Luysterborghs | 208 Blue Hills Road, Durham, CT 06422 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Trinh Tu Tran | 10 Cesca Lane, Durham, CT 06422 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Beseck Mountain Rescue Inc | 68r Middlefield Road, Durham, CT 06422 | Public Charity-exempt From Financial Requirements | 2007-10-15 ~ |
| Mary E Gossart | 35 Maiden Lane, Durham, CT 06422 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Jayshreebahen Bidja · Little Rooster Liquors | 363 Main St, Durham, CT 06422 | Package Store Liquor | 2020-08-09 ~ 2021-08-08 |
| Erica Espinoza | 163 Stage Coach Rd, Durham, CT 06422 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Adrienne Lynn Deschnow | 419 R Johnson Lane, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lynda S Collins · Robison | 649 Wallingford Road, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pierino Peter Cascini | 425 Main Street, Durham, CT 06422 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Leila K Markunas | 250 Skeetclub Road, Durham, CT 06422 | Massage Therapist | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06422 | |||
| City | DURHAM |
| Zip Code | 06422 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DURHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kirsten P Marcus Md | 788 8th Ave, Apt. 4, San Francisco, CA 94118 | Controlled Substance Registration for Practitioner | 2013-03-13 ~ 2015-02-28 |
| Kirsten Kerrigan Md | 375 Willard Ave, Newington, CT 06111-2300 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kirsten J Asmus Cnm | 92 Limewood Ave B-14, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kirsten M Wilkins Md | 2 Parkland Pl, Milford, CT 06460-7722 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kirsten M Ura Dvm | 121 Pratt Street, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 1998-03-11 ~ 1999-02-28 |
| Kirsten A Kibler | 1 Grove St, New Britain, CT 06053-4116 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kirsten J Nordt Dvm | 81 Saw Mill Rd, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kirsten Elizabeth Lawrence | 112 Sycamore Ln, Irvington, NY 10533-1932 | Controlled Substance Registration for Practitioner | 2020-02-07 ~ 2021-02-28 |
| Kirsten Grau Dpm | 400 Blake St Apt 1211, New Haven, CT 06515-4428 | Controlled Substance Registration for Practitioner | 2011-03-30 ~ 2013-02-28 |
| Sarika M Ramachandran | 3 Kirsten Place, Weston, CT 06883 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).