ELLYN S KIRK VMD (Credential# 891810) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ELLYN S KIRK VMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046323. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 57 Sturgeon River Rd, Glastonbury, CT 06033-2747. The current status is active.
| Licensee Name | ELLYN S KIRK VMD |
| Credential ID | 891810 |
| Credential Number | CSP.0046323 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
57 Sturgeon River Rd Glastonbury CT 06033-2747 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-08-28 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 773085 | 47.003411 | Veterinarian | 2009-04-06 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 1393015 | BNGO.1703966-PIN | BINGO OPERATOR | 2016-12-28 | 2016-12-28 - | ACTIVE |
| Street Address | 57 STURGEON RIVER RD |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-2747 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laryssa N Balaban | 66 Sturgeon River Rd, Glastonbury, CT 06033-2747 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jeannette A Adorno-pacheco | 81 Sturgeon River Rd, Glastonbury, CT 06033-2747 | Controlled Substance Registration for Practitioner | 2019-04-02 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellyn G Mix Dmd | 36 Padanaram Road, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Liana Ellyn Dawson | 4900 Travis Peak Trail #9, Marble Falls, TX 78654 | Controlled Substance Registration for Practitioner | 2018-02-15 ~ 2019-02-28 |
| Andrew B Kirk Pa | 31 River Rd, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jenna M Kirk | 714 N Whitted St, Hendersonville, NC 28791-3354 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kirk J Macnaught Md | 29 Meadowbrook Rd, Auburn, MA 01501 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Michael D Kirk | 11 Prospect St, Essex, CT 06426-1010 | Controlled Substance Registration for Practitioner | 2017-03-13 ~ 2019-02-28 |
| Claude E Forkner Jr | 20 Kirk Rd, W Cornwall, CT 06796 | Controlled Substance Registration for Practitioner | 1993-08-17 ~ 1995-09-01 |
| Kirk N Campbell Md | 111 Park St#16a, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Kirk F Engel | 314 Flanders Rd, East Lyme, CT 06333 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kirk D Blais | 1659 Williams St, Denver, CO 80218-1706 | Controlled Substance Registration for Practitioner | 2013-06-10 ~ 2015-02-28 |
Please comment or provide details below to improve the information on ELLYN S KIRK VMD.
| 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).