KATHLEEN L SULLIVAN (Credential# 953268) 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.
KATHLEEN L SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048973. 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 714 Maple Hill Road, Naugatuck, CT 06770. The current status is active.
| Licensee Name | KATHLEEN L SULLIVAN |
| Credential ID | 953268 |
| Credential Number | CSP.0048973 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
714 Maple Hill Road Naugatuck CT 06770 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 950278 | 12.004478 | Advanced Practice Registered Nurse | 2010-09-09 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 586619 | 10.082617 | Registered Nurse | 2007-07-19 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 714 MAPLE HILL ROAD |
| City | NAUGATUCK |
| State | CT |
| Zip Code | 06770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mardiny Khvay | 152 Cherry St, Naugatuck, CT 06770 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-09-30 |
| Jennifer D Arsan-siemasko | 26 Seth Dr, Naugatuck, CT 06770 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Margaret R Berge | 375 May St, Naugatuck, CT 06770 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-14 |
| Ilene Zayas | 38 Arch St., Naugatuck, CT 06770 | Medication Administration Certification | ~ |
| Paula M Coelho | 56 Jolie Road, Naugatuck, CT 06770 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Shannen Grace Welz | 292 Spencer St, Naugatuck, CT 06770 | Esthetician | ~ |
| Tanjala M Samuels | 15 Lorann Circle, Naugatuck, CT 06770 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Lee Evans | 216 Spring Street Unit 17, Naugatuck, CT 06770 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jay Haack | 589 High Street, Naugatuck, CT 06770 | Medication Administration Certification | 2018-07-12 ~ 2020-07-11 |
| Kathleen B Chiarella | 67 Melbourne St, Naugatuck, CT 06770 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06770 | |||
| City | NAUGATUCK |
| Zip Code | 06770 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NAUGATUCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen M Sullivan | 257 Turner Rd, Oakdale, CT 06370-1827 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Len Jd Sullivan | Po Box 5, Somers, CT 06071-0005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly S Sullivan | 500 Albany Ave, Hartford, CT 06120-2508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raymond E Sullivan | 32 Marney Dr, Middlebury, CT 06762-2023 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hilary C Sullivan | 22 Cedarcroft Dr, Madison, CT 06443-1832 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Raymond J Sullivan | 31 Seymour St Ste 100, Hartford, CT 06106-5521 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kelly Ann Sullivan Aprn | 6 Fox Run, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-21 ~ 2021-02-28 |
| Barbara E Sullivan Md | 2 Kent Rd, Norwalk, CT 06854 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Cynthia K O'sullivan | 30 Highview Rd, Madison, CT 06443-2554 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Virginia M Sullivan | 36 Burr Rd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on KATHLEEN L SULLIVAN.
| 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).