KATHLEEN M BANNON APRN
Controlled Substance Registration for Practitioner


Address: 54 St Moritz Circle, Willington, CT 06279

KATHLEEN M BANNON APRN (Credential# 216761) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

KATHLEEN M BANNON APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028602. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 54 St Moritz Circle, Willington, CT 06279. The current status is inactive.

Basic Information

Licensee Name KATHLEEN M BANNON APRN
Credential ID 216761
Credential Number CSP.0028602
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 54 St Moritz Circle
Willington
CT 06279
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Office Location

Street Address 54 ST MORITZ CIRCLE
City WILLINGTON
State CT
Zip Code 06279

Licenses in the same zip code

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Travel Centers of America 327 Ruby Rd, Willington, CT 06279 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Schofield Road 126 Schofield Road, Willington, CT 06279 Community Living Arrangement 2018-07-01 ~ 2020-06-30
Amy L Swank 42 St Moritz Circle, Willington, CT 06279 Registered Nurse 2020-08-01 ~ 2021-07-31
Patricia Locke 317 River Rd, Willington, CT 06279 Registered Nurse 2020-07-01 ~ 2021-06-30
Melissa A Bray 6 Adamec Road, Willington, CT 06279 Speech and Language Pathologist 2020-09-01 ~ 2021-08-31
Cathy A Roy 9 Hall Hill Road, Willington, CT 06279 Registered Nurse 2020-07-01 ~ 2021-06-30
Erin Kathleen Pervine 11 Phelps Way, Willington, CT 06279 Nail Technician 2020-06-15 ~ 2022-06-30
Pamela J Puhlick 120 Willington Hill Road, Willington, CT 06279 Registered Nurse 2020-07-01 ~ 2021-06-30
David R Newman 7 Y Road, Willington, CT 06279 Architect 2020-08-01 ~ 2021-07-31
Sally Ann Barone 65 Pinney Hill Rd, Willington, CT 06279 Combination Nail Technician, Esthetician Or Eyelash Technici ~
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Competitor

Search similar business entities

City WILLINGTON
Zip Code 06279
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILLINGTON

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Dataset Information

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).

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