KATHY A LONG PA (Credential# 372599) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
KATHY A LONG PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035018. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 7233 Avalon Way, Shrewssbury, MA 01545. The current status is inactive.
| Licensee Name | KATHY A LONG PA |
| Credential ID | 372599 |
| Credential Number | CSP.0035018 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7233 Avalon Way Shrewssbury MA 01545 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-06-10 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742253 | 23.000504 | Physician Assistant | 1995-03-24 | 2010-08-01 - 2011-07-31 | INACTIVE |
| 163923 | CSP.0023139 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-05-11 - 1996-02-28 | INACTIVE |
| Street Address | 7233 Avalon Way |
| City | Shrewssbury |
| State | MA |
| Zip Code | 01545 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven C Jennette | 19 Rockwell Drive, Shrewsbury, MA 01545 | Architect | 2020-08-01 ~ 2021-07-31 |
| Traci L Magliozzi · Testa | 103 Stoney Hill Rd, Shrewsbury, MA 01545 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Geetanjali Virmani | 31 Hawthorne Road, Shrewsbury, MA 01545 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Sara M Jaszczur | 11 Turtle Creek Circle, Shrewsbury, MA 01545 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michelle R Stumm | 9 Sycamore Road, Shrewsbury, MA 01545 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Mireya Wessolossky | 9 Old Farm Circle, Shrewsbury, MA 01545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Esther Kinuthia | Po Box 4436, Shrewsbury, MA 01545 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Pooja Laxminarayan Jangid | 16 Thestland Dr., Shrewsbury, MA 01545 | Physical Therapist | ~ |
| Laura A Ames | 9 Chartwell Circle, Shrewsbury, MA 01545 | Nursing Home Administrator | 2020-06-01 ~ 2022-05-31 |
| Grisham M Bryan | 30 Stonybrook Lane, Shrewsbury, MA 01545 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Find all Licenses in zip 01545 | |||
| City | Shrewssbury |
| Zip Code | 01545 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Shrewssbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathy-ann E Dennis Md | 32 Hoskins Rd, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vanessa L Augeri Pa | 4 Kathy Ct, Locust Valley, NY 11560-1914 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kathy Morgan Aprn | 18 Sunnyside Dr, Northford, CT 06472 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Qadara F Moore Pa | Kathy's Urgent Care, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathy E Delucia | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathy Cowe Dvm | Conn Veterinary Center, W Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 1994-07-12 ~ 1996-08-01 |
| Kathy A Simone Aprn | 465 Buckland Hills Drive 29232, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Ann Hess Md | 42 Long Hill Rd, Guilford, CT 06437-1870 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Long D Tran | 80 Seymour St, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2008-03-14 ~ 2009-02-28 |
| M B Shimelman Md | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KATHY A LONG PA.
| 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).