KC BLY
Controlled Substance Registration for Practitioner


Address: 824 Capitol Ave, Hartford, CT 06106

KC BLY (Credential# 998249) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

KC BLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050177. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 824 Capitol Ave, Hartford, CT 06106. The current status is inactive.

Basic Information

Licensee Name KC BLY
Credential ID 998249
Credential Number CSP.0050177
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 824 Capitol Ave
Hartford
CT 06106
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2011-05-25
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2017-05-02

Other licenses

ID Credential Code Credential Type Issue Term Status
991224 16.000352 Licensed Nurse Midwife 2011-05-04 2013-12-01 - 2014-11-30 INACTIVE
991204 10.099500 Registered Nurse 2011-05-04 2013-12-01 - 2014-11-30 INACTIVE

Office Location

Street Address 824 Capitol Ave
City Hartford
State CT
Zip Code 06106

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Douglas Laing Rock Oyster Statewide, Hartford, CT 06106 Liquor Brand Label 2016-08-03 ~ 2019-08-02
Randall S Luther 146 Wyllys St 1-203, Hartford, CT 06106 Architect 2020-08-01 ~ 2021-07-31
Guillermina Gonzalez 97 Amity St., Hartford, CT 06106 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Keyonni Jones 54 Grafton St, Hartford, CT 06106 Medication Administration Certification ~
Amber Nicole Perretta 125 Zion St 2n, Hartford, CT 06106 Hairdresser/cosmetician ~
Jose B. Jiminian · Danny's Market Grocery Store 33 Park Street, Hartford, CT 06106 Grocery Beer 2020-08-01 ~ 2021-07-31
Alice G Nieto 29 Kelsey Street, Hartford, CT 06106 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
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Competitor

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City Hartford
Zip Code 06106
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Hartford

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Dataset Information

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).

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