BENJAMIN ORTIZ (Credential# 1058514) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
BENJAMIN ORTIZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052196. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 40 Cross Street, Norwalk, CT 06851. The current status is lapsed.
| Licensee Name | BENJAMIN ORTIZ |
| Credential ID | 1058514 |
| Credential Number | CSP.0052196 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Cross Street Norwalk CT 06851 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2012-05-01 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1064665 | 1.050841 | Physician/Surgeon | 2012-04-23 | 2017-11-01 - 2018-10-31 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin Ortiz | 170 York St Apt 3, New Haven, CT 06511-4802 | Real Estate Salesperson | 2013-10-30 ~ 2014-05-31 |
| Street Address | 40 CROSS STREET |
| City | NORWALK |
| State | CT |
| Zip Code | 06851 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christen R Vogel | 40 Cross Street, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer I Moore | 40 Cross Street, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerome J Klein Md | 40 Cross Street, Norwalk, CT 06851 | Physician/surgeon | 2008-01-31 ~ 2009-03-31 |
| Healthsouth Surgery Center of Norwalk Lp · Healthsouth Surgery Center of Norwalk | 40 Cross Street, Norwalk, CT 06851 | Out-patient Surgical Facility | 2004-10-01 ~ 2006-09-30 |
| Charles Douchy Md | 40 Cross Street, Norwalk, CT 06851 | Physician/surgeon | 1998-08-19 ~ 1999-09-30 |
| Michael Fenster Md | 40 Cross Street, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 1994-08-09 ~ 1996-09-01 |
| Leonard B Stein | 40 Cross Street, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 1993-01-12 ~ 1995-02-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
| Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
| Find all Licenses in zip 06851 | |||
| City | NORWALK |
| Zip Code | 06851 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martin Ortiz | 644 W Putnam Ave, Greenwich, CT 06830-6088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fernando L Ortiz | 37 Fieldstone Rd, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1994-04-06 ~ 1995-12-01 |
| Edgardo Ortiz Nieves | 288 West Ave, Stamford, CT 06902-6355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alejandro Ortiz-burgos Md | 100 Jefferson Sq #7a, Waterbury, CT 06702 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Elizabeth Ortiz-schwartz | 126 Gary Rd, Stamford, CT 06903-4829 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth C Ortiz | 400 Blake St Apt 3410, New Haven, CT 06515-4415 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Nicole Eddy Ortiz | 326 Washington St, Norwich, CT 06360-2740 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin Evenchik | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-11-14 ~ 2013-02-28 |
| Jacqueline Ortiz-skenderidis | 32 Cherry Brook Rd, Canton, CT 06019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Waleska Ortiz-ayala | 550 Gaylord Mountain Rd, Hamden, CT 06518-1009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on BENJAMIN ORTIZ.
| 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).