KEITH P CROSS (Credential# 380936) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.
KEITH P CROSS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036214. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 925 Mix Ave Apt 1-h, Hamden, CT 06514. The current status is inactive.
| Licensee Name | KEITH P CROSS |
| Credential ID | 380936 |
| Credential Number | CSP.0036214 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
925 Mix Ave Apt 1-h Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-09-09 |
| Effective Date | 2007-03-01 |
| Expiration Date | 2008-02-29 |
| Refresh Date | 2009-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 382499 | CSP.0036441 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-10-22 | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 925 MIX AVE APT 1-H |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith Hollinger | 55 Nye Rd Ste 101, Glastonbury, CT 06033-1281 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin A Cross Md | Po Box 362, Kedrsavge, NH 03847 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Keith B Lescale Md | 600 Mamaroneck Ave Ste 110, Harrison, NY 10528-1646 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Keith J. Falter II | 90 Locust Ave, Danbury, CT 06810-6034 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Keith A Landesman Md | 39 Ridge Rd, Weston, CT 06883 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Keith Vom Eigen Md | 131 Coventry St, Hartford, CT 06112 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Keith E Campbell | 415 Killingworth Rd, Higganum, CT 06441 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Keith P Meslin | 265 Slater St 220, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Keith A Hopkins Md | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Keith Rosenberg | 111 West St, Portland, ME 04102-3416 | Controlled Substance Registration for Practitioner | 2019-06-20 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KEITH P CROSS.
| 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).