KATHLEEN BURLISON (Credential# 557020) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KATHLEEN BURLISON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039435. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1981 E Main Street, Waterbury, CT 06705. The current status is active.
| Licensee Name | KATHLEEN BURLISON |
| Credential ID | 557020 |
| Credential Number | 1.039435 |
| Credential Type | Physician/Surgeon |
| Business Address |
1981 E Main Street Waterbury CT 06705 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-04-18 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 277867 | CSP.0030818 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-04-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1981 E Main Street |
| City | Waterbury |
| State | CT |
| Zip Code | 06705 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy L Gonzalez | 141 Decicco Road, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Cara Anne Mahony | 80 Craigie Ave, Waterbury, CT 06705 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jocelyn Dennise Garcia | 38 Stonewall Lane, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Rosa Tenezaca | 24 Wall St Apt 1st, Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Spinella Bakery | 53 Interstate Lane, Waterbury, CT 06705 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Penelope Ortiz | 42 Gayridge Rd Apt 3-1, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Sandra Arias | 57 Howard St., Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Waldemar Lopes | 10 Mansfield Ave, Waterbury, CT 06705 | Medication Administration Certification | 2020-05-16 ~ 2022-05-15 |
| Briana Yvette Hurdle | 235 Academy Avenue, Waterbury, CT 06705 | Esthetician | ~ |
| Jason Bradway | 93 Midland Road, Waterbury, CT 06705 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06705 | |||
| City | Waterbury |
| Zip Code | 06705 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Burlison · Burlison Restoration | 24 Dora Dr, East Haven, CT 06513 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
| Burlison Restoration LLC | 1890 Ridge Rd, North Haven, CT 06473-2023 | Home Improvement Contractor | 2016-09-22 ~ 2017-11-30 |
| Kathleen Barrett Kay | Po Box 5, Latham, NY 12110-0005 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Kathleen A Pajer | 53 Scholl St, Lebanon, NH 03766 | Physician/surgeon | 1986-07-31 ~ 1988-11-30 |
| Kathleen L Ryan | 215 Eastbourne Ter, Moorestown, NJ 08057-2942 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Kathleen M Donnelly | 757 Townsend Ave, New Haven, CT 06512 | Physician/surgeon | 1996-06-20 ~ 1997-07-31 |
| Kathleen M Kim | Dept. of Psychiatry, Chicago, IL 60612 | Physician/surgeon | 2002-12-09 ~ 2004-01-31 |
| Kathleen Ann Smulka | 273 Hildegarde Rd, Rochester, NY 14626-2350 | Physician/surgeon | 1992-05-01 ~ 1993-09-30 |
| Kathleen A Kohls | 241 Ferry Landing Cir, Portsmouth, RI 02871-3126 | Physician/surgeon | ~ |
| Kathleen J Mcshane Md | 27 Main St, Hebron, CT 06248 | Physician/surgeon | 1998-05-19 ~ 1999-06-30 |
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| 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).