KATHLEEN MARIE FENN (Credential# 2012122) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license status is PENDING.
KATHLEEN MARIE FENN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073241. The credential type is controlled substance registration for practitioner. The business address is 177 Fort Washington Ave, New York, NY 10032-3733. The current status is pending.
| Licensee Name | KATHLEEN MARIE FENN |
| Credential ID | 2012122 |
| Credential Number | CSP.0073241 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
177 Fort Washington Ave New York NY 10032-3733 |
| Business Type | INDIVIDUAL |
| Status | PENDING - WAITING FOR ACTIVE LICENSE FROM DPH |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2007636 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 177 FORT WASHINGTON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3733 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Piergiuseppe Fedele | 177 Fort Washington Ave, New York, NY 10032-3733 | Physician/surgeon | 2020-05-06 ~ 2020-09-30 |
| David G Savage Md | 177 Fort Washington Ave, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Torsten Vahl P Vahl | 177 Fort Washington Ave, New York, NY 10032 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca H C Yeh | 835 Riverside Drive, New York, NY 10032 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Olga M Brown | 621 W 169 Street, New York City, NY 10032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J Howard Williams | 835 Riverside Dr Apt #1-d, New York, NY 10032 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
| Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Mitchell S Elkind | 710 W. 168th Street, New York, NY 10032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emily Chug | 100 Haven Ave, New York, NY 10032 | Physical Therapist | ~ |
| Rainer N Mittl | 635 West 165th Street, New York, NY 10032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tristan Timothy Sands | 180 Fort Washington Ave, 5th Floor, New York, NY 10032 | Physician/surgeon | ~ |
| Thread Connects, Inc. · Thread | 611 W 163rd St, New York, NY 10032 | Public Charity | 2020-03-24 ~ 2020-11-30 |
| Mitchell Wade Dillon | 565 West 169th Street, New York, NY 10032 | Genetic Counselor | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10032 | |||
| City | NEW YORK |
| Zip Code | 10032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally D Romano Md | 19 Fenn Rd., Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian W Fenn | 600 Haddam Quarter Rd, Durham, CT 06422-1707 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joanne B D'angelo | 90 Fenn Road, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-04-24 ~ 2021-02-28 |
| John E Fenn | 200 Leeder Hill Dr # 2603, Hamden, CT 06517-2758 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna Marie Marie Romito | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen A. Ennis | 30 Orchard St, Cos Cob, CT 06807-2403 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen E Titus Pa | Po Box 650, Fiskdale, MA 01518 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kathleen M Thayer | P O Box 284, Colebrook, CT 06021 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kathleen Thompson | 760 Mix Ave Apt 2e, Hamden, CT 06514-2210 | Controlled Substance Registration for Practitioner | 2019-11-15 ~ 2021-02-28 |
| Kathleen L Smith Md | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on KATHLEEN MARIE FENN.
| 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).