KELLY ANN SULLIVAN APRN (Credential# 260606) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 21, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KELLY ANN SULLIVAN APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030463. The credential type is controlled substance registration for practitioner. The effective date is March 21, 2019. The expiration date is February 28, 2021. The business address is 6 Fox Run, Wilton, CT 06897. The current status is active.
| Licensee Name | KELLY ANN SULLIVAN APRN |
| Credential ID | 260606 |
| Credential Number | CSP.0030463 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Fox Run Wilton CT 06897 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-02-06 |
| Effective Date | 2019-03-21 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 628926 | 10.E60028 | Registered Nurse | 1997-08-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 680624 | 12.002446 | Advanced Practice Registered Nurse | 2001-01-30 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 6 FOX RUN |
| City | WILTON |
| State | CT |
| Zip Code | 06897 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | WILTON |
| Zip Code | 06897 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann M Sullivan Aprn | 23 Orange St, New Britain, CT 06053-4122 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Laura D Sullivan Aprn | 501 Pearse Rd, Swansea, MA 02777 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Cathy W Sullivan Aprn | 343 Three Mile Rd, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2006-04-19 ~ 2007-02-28 |
| Katherine Ansaldi Aprn | 1330 Sullivan Ave, So Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Barbara Sullivan Aprn | 2039 Main St, S Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Kelly S Sullivan | 500 Albany Ave, Hartford, CT 06120-2508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patricia M Sullivan Aprn | 1010 East Gifford Dr, Tucson, AZ 85719 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Mary C Sullivan Aprn | 26 Washington Avenue, South Nyack, NY 10960 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melanie Joy Cunningham Aprn | 215 Kelly's Dam Rd, Danville, PA 17821 | Controlled Substance Registration for Practitioner | 2011-11-17 ~ 2013-02-28 |
| Kelly K Hill Aprn | 128 Climax Rd, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2011-03-30 ~ 2013-02-28 |
Please comment or provide details below to improve the information on KELLY ANN SULLIVAN APRN.
| 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).