W DALE KECKLEY (Credential# 275559) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is INACTIVE.
W DALE KECKLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030707. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 4 Dairy Lane, Cromwell, CT 06416. The current status is inactive.
| Licensee Name | W DALE KECKLEY |
| Credential ID | 275559 |
| Credential Number | CSP.0030707 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Dairy Lane Cromwell CT 06416 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - SURRENDERED |
| Issue Date | 2001-03-28 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742814 | 23.001065 | Physician Assistant | 2001-03-08 | 2018-08-01 - 2018-12-21 | INACTIVE |
| Street Address | 4 DAIRY LANE |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane B Keckley Pa | 4 Dairy Lane, Cromwell, CT 06416 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CROMWELL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dale C Pappas P.a. | Po Box 264, Agawam, MA 01001-0264 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Dale T Toce Md | 7 Elm St Ste 201, Enfield, CT 06082-3670 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wayne C Chen Md | 44 Dale Rd, Avon, CT 06001-4315 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ira M Greene | 34 Dale Road, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Collin B Sanford Dmd | 44 Dale Rd, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles Hamilton Md | 91 Dale Rd, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Harvie Dale Harrier Md | Po Box 370, Espanola, NM 87532 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Jonathan R Dale | 174 Hourigan Dr, Meriden, CT 06451-3640 | Controlled Substance Registration for Practitioner | 2019-03-04 ~ 2021-02-28 |
| Cindy L St Onge Md | 44 Dale Rd #201, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie B Lindenberg Md | 40 Dale Rd, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on W DALE KECKLEY.
| 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).