LAURIE A MALIA (Credential# 1080709) 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 INACTIVE.
LAURIE A MALIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052870. 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 3050 Corlear Ave Apt 302, Bronx, NY 10463-5182. The current status is inactive.
| Licensee Name | LAURIE A MALIA |
| Credential ID | 1080709 |
| Credential Number | CSP.0052870 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3050 Corlear Ave Apt 302 Bronx NY 10463-5182 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2012-07-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1323673 | 1.054869-DO | Physician/Surgeon | 2016-01-15 | 2018-12-01 - 2019-11-30 | INACTIVE |
| 1488653 | 1.058048-RES | Resident Physician | 2015-11-16 | 2015-11-16 - 2018-06-30 | INACTIVE |
| 841958 | 70.002224 | Emergency Medical Technician | 2002-03-26 | 2007-08-09 - 2010-12-31 | INACTIVE |
| Street Address | 3050 CORLEAR AVE APT 302 |
| City | BRONX |
| State | NY |
| Zip Code | 10463-5182 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jordan Matlovsky | 3050 Fairfield Ave, Bronx, NY 10463 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Barry J Kanner Md | 3130 Netherland Ave, Bronx, NY 10463 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Karen L Brooks | 3363 Sedgwick Ave. Apt, 2n, Bronx, NY 10463 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Roslyn M. Cusack | 474 W 238th Street, Bronx, NY 10463 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Martin A Drooker | 2500 Johnson Avenue, Apt. 18m, Bronx, NY 10463 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Yvelisse Aybar | 3850 Sedgwick Avenue, Bronx, NY 10463 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Elliot Weiner | 3701 Henry Hudson Parkway, Bronx, NY 10463 | Psychologist | ~ |
| Jamie Lee Diaz Monsale | 3611 Henry Hudson Parkway, Apt 5e, Bronx, NY 10463 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Gerald Pontones | 60 Knolls Crescent 2j, Bronx, NY 10463 | Home Improvement Salesperson | 2020-03-09 ~ 2020-11-30 |
| Iniva R Ngaka | 2287 Johnson Avenue Apt. 11c, Bronx, NY 10463 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 10463 | |||
| City | BRONX |
| Zip Code | 10463 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRONX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie M Malia | 319 Main St, Manchester, CT 06040-4128 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chrystal L Malia | 20 York Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Malia Mccarthy Md | 2902 Concord Ave, Davis, CA 95616 | Controlled Substance Registration for Practitioner | 2002-04-11 ~ 2003-02-28 |
| Laurie A Gordon | 79 Lakewind Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laurie A Loiacono Md | 68 Skyridge Dr, Somers, CT 06071 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Laurie Whittaker Md | 783 Orange St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Laurie Scheiner | 40 Buttonwood Cir, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laurie Margolies Md | 1025 5th Ave. Apt 2b-s, New York, NY 10028 | Controlled Substance Registration for Practitioner | 2009-03-02 ~ 2011-02-28 |
| Laurie J Franklin | 143 Torrington Rd, Goshen, CT 06756-0378 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Laurie J Fessenden | 3 Stonington Ave E, Pawcatuck, CT 06379-2505 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on LAURIE A MALIA.
| 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).