SAMANTHA M KOLASA (Credential# 1127040) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 4, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
SAMANTHA M KOLASA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053858. The credential type is controlled substance registration for practitioner. The effective date is April 4, 2013. The expiration date is February 28, 2015. The business address is 40 Prospect Ave Bldg 2j, Norwalk, CT 06850-3737. The current status is inactive.
| Licensee Name | SAMANTHA M KOLASA |
| Credential ID | 1127040 |
| Credential Number | CSP.0053858 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Prospect Ave Bldg 2j Norwalk CT 06850-3737 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-10-12 |
| Effective Date | 2013-04-04 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1119938 | 23.002831 | Physician Assistant | 2012-09-24 | 2013-05-01 - 2014-04-30 | INACTIVE |
| Street Address | 40 PROSPECT AVE BLDG 2J |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-3737 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Lindo | 40 Prospect Ave Bldg 3j, Norwalk, CT 06850-3737 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Angad Deengar | 40 Prospect Ave Bldg 4k, Norwalk, CT 06850-3737 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Juan C Sarmiento Ramon | 40 Prospect Ave Bldg 3l, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carlos M Nunez | 40 Prospect Ave Bldg 3a, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Di Wu | 40 Prospect Ave Bldg 4d, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Allan A Lambkin | 40 Prospect Ave, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Yousaf A Shaikh | 40 Prospect Ave Apt 3d, Norwalk, CT 06850-3737 | Resident Physician | 2018-06-20 ~ 2021-06-19 |
| Mufti Mushfiqur Rahman | 40 Prospect Ave Bldg 3f, Norwalk, CT 06850-3737 | Resident Physician | 2017-06-20 ~ 2021-06-19 |
| Sharon Sukhdeo | 40 Prospect Ave Bldg 3k, Norwalk, CT 06850-3737 | Resident Physician | 2017-06-19 ~ 2021-06-30 |
| Virginia Ruiz | 40 Prospect Ave Bldg 4l, Norwalk, CT 06850-3737 | Resident Physician | 2019-11-11 ~ 2022-11-10 |
| Find all Licenses in zip 06850-3737 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
| Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06850 | |||
| City | NORWALK |
| Zip Code | 06850 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha G Lee | 172 Whitman Ave, West Hartford, CT 06107-1635 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha L Lyman | 209 Cooper St, Agawam, MA 01001-2165 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha K Mraz | 70 Ripton Rd, Shelton, CT 06484-2668 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha M Genovese | 3 Ric Ct, North Branford, CT 06471 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha A Matney | 33 Radding St, Manchester, CT 06042-3628 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Samantha J Laclair Dvm | 53 Alvin St, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kent Huynh | 83 Samantha Circle, L4B2S1 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Samantha A Pelow | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha Dippolino | 577 High St, Middletown, CT 06457-2222 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| Samantha Dane | 2 Stelmack Rd, Derby, CT 06418-2513 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).