CARLOS S. DEGOLLADO (Credential# 1006563) 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.
CARLOS S. DEGOLLADO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050704. 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 20 Hillside Ave, Unionville, CT 06085-1052. The current status is active.
| Licensee Name | CARLOS S. DEGOLLADO |
| Credential ID | 1006563 |
| Credential Number | CSP.0050704 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 Hillside Ave Unionville CT 06085-1052 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-07-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1232630 | 2.011257 | Dentist | 2014-08-05 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 986352 | 2.010515-PROV | Provisional Faculty Dentist | 2011-05-11 | 2013-11-01 - 2014-10-31 | INACTIVE |
| Street Address | 20 HILLSIDE AVE |
| City | UNIONVILLE |
| State | CT |
| Zip Code | 06085-1052 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cristian R. Craciun Brutten | 20 Hillside Ave, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2014-04-02 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Denise M Rousseau-poole | 20 Hillside Avenue, Unionville, CT 06085-1052 | Notary Public Appointment | 2006-05-01 ~ 2011-04-30 |
| Marianne Bangham | 47 Hillside Ave, Unionville, CT 06085-1052 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Taeshin Kim | 151 Coppermine Rd., United States, CT 06085 | Nail Technician | ~ |
| Fuzzy's Foam LLC · Fuzzy's Foam Insulation | 65 Forest St, Unionville, CT 06085 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Darlene L Redman | 97 A Perry Street, Unionville, CT 06085 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Morgan M Marshall | 540 Plainville Ave, Unionville, CT 06085 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Oxyair Medical LLC | P.o. Box 471, Unionville, CT 06085 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sara R Stevenson | 4 Aztec Trail, Unionville, CT 06085 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Rupalini Rawal-dhingra | 12 Newcastle Place, Unionville, CT 06085 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Julian I D Mashkovich | 424 Plainville Ave, Unionville, CT 06085 | Emergency Medical Technician | ~ |
| Daniel C Boyd | 46 Woodside Dr, Farmington, CT 06085 | Optician | 2020-09-01 ~ 2021-08-31 |
| Stephanie Caminiti Aprn | 16 Mals Way, Unionville, CT 06085 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06085 | |||
| City | UNIONVILLE |
| Zip Code | 06085 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + UNIONVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos W Vildozola Md | 62 Buckland St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Carlos M. Cruz Chu | 52 Hawley Ave Apt 7, Milford, CT 06460-8100 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Carlos Medina | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carlos R Beltran Md | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2009-05-06 ~ 2011-02-28 |
| Carlos A Cardoso Md | 23 Hemlock Dr., Killingworth, CT 06419 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Carlos A Barba Md | 11 South Rd Ste 130, Farmington, CT 06032-2410 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carlos Morales | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carlos A Gonzalez Md | 317 N. Main St, Manchester, CT 06042 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carlos A Henriquez | 188 Park St Fl 1, Hartford, CT 06106-2525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carlos A Mancilla | 679 Delaware Ave, Delmar, NY 12054-2417 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CARLOS S. DEGOLLADO.
| 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).