KYLE J FULLER (Credential# 238712) 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.
KYLE J FULLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029744. 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 Po Box 530, Wauregan, CT 06387-0530. The current status is active.
| Licensee Name | KYLE J FULLER |
| Credential ID | 238712 |
| Credential Number | CSP.0029744 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 530 Wauregan CT 06387-0530 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-06-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 628952 | 10.E60057 | Registered Nurse | 1997-08-08 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 680221 | 12.002043 | Advanced Practice Registered Nurse | 1999-03-26 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | PO BOX 530 |
| City | WAUREGAN |
| State | CT |
| Zip Code | 06387-0530 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| United Services Inc. · United Services, Inc. | 303 Putnam Road, Wauregan, CT 06387 | Psychiatric Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Ruby R Babcock | Po Box 254, Wauregon, CT 06387 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Ian P Fischer | 25 N Walnut St, Wauregan, CT 06387 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Amy Wooldridge | 80 Grove St, Wauregan, CT 06387 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Jennifer L Stands | P O Box 65, Wauregan, CT 06387 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Stephanie L Topping | 14 South Walnut St, Wauregan, CT 06387 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Luis Guarnizo | 10 Wauregan Rd, P O Box 542, Wauregan, CT 06387 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Pamela C Ponce | 10 Wauregan Road P O Box 542, Wauregan, CT 06387 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Chun Xia L Zheng | Po Box 69 43 North Walnut St., Wauregan, CT 06387 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Tristin Annette Courteau | 133 S. Chestnut Street P O Box 529, Wauregan, CT 06387 | Casino Class I Employee | 2020-01-28 ~ 2020-10-31 |
| Find all Licenses in zip 06387 | |||
| City | WAUREGAN |
| Zip Code | 06387 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WAUREGAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kisti D Fuller | 24 Elm Dr, West Hartford, CT 06110-1007 | Controlled Substance Registration for Practitioner | 2013-03-12 ~ 2015-02-28 |
| Robert P Fuller | 200 Fern St, West Hartford, CT 06119-1164 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| S Steven Wolfson Md | 83 Fuller Dr, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| George F Fuller Md | 59 Pulaski Highway, Ansonia, CT 06401-2828 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Monika V Fuller | 90 Nichole Court, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce W Fuller | 120 Marvelwood Drive, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Pamela Eze | 118 Fuller Drive, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Breanne Lee Fuller | 2437 Bedford St Unit F7, Stamford, CT 06905-3924 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| J Barden Fuller Dds | 1090 Meriden-wtby Tpke Ste 2, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kyle E Pfeifer | 58 N Humiston Dr, Bethany, CT 06524-3115 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on KYLE J FULLER.
| 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).