GUIRLAINE BLOT SANON (Credential# 1121260) 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.
GUIRLAINE BLOT SANON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053641. 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 138 Delaware Ave, Freeport, NY 11520-1313. The current status is lapsed.
Licensee Name | GUIRLAINE BLOT SANON |
Credential ID | 1121260 |
Credential Number | CSP.0053641 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
138 Delaware Ave Freeport NY 11520-1313 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2012-11-02 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1120890 | 1.051458-DO | Physician/Surgeon | 2012-11-01 | 2015-12-01 - 2016-11-30 | INACTIVE |
Street Address | 138 DELAWARE AVE |
City | FREEPORT |
State | NY |
Zip Code | 11520-1313 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Island Bedding Corp | 211 E Merrick Rd, Freeport, NY 11520 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Jill A. Smith | 110 Brooklyn Ave, Freeport, NY 11520 | Master's Level Social Worker | 2019-12-01 ~ 2020-11-30 |
Maria G Barreiro | 160 Westside Ave, Freeport, NY 11520 | Registered Nurse | ~ |
Fitzroy George Walker | 206 Saint Marks Ave, Freeport, NY 11520 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
Troy Eisner | 429 Atlantic Avenue, Freeport, NY 11520 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Kemesha Charles | 64 Mount Joy Avenue, Freeport, NY 11520 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
Dependable Windows Co Inc | 409 North Main St, Freeport, NY 11520 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Michael S Carrington | 26 Maryland Avenue, Freeport, NY 11520 | Notary Public Appointment | 2002-07-01 ~ 2007-06-30 |
Allied Corp | 46 East Ave, Freeport, NY 11520 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Barbara H Micciulli · Higgins | 288 Park Avenue, Freeport, NY 11520 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Find all Licenses in zip 11520 |
City | FREEPORT |
Zip Code | 11520 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FREEPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cristina Blot | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-11-21 ~ 2013-02-28 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Guirlaine Sajous | 101 Dean St, Stamford, CT 06902-6252 | Licensed Practical Nurse | ~ |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Stacey Blot | Po Box 343, Bronx, NY 10466 | Licensed Practical Nurse | 2006-01-10 ~ 2006-11-30 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
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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).