ANGELINA L. TRUJILLO (Credential# 1132724) 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.
ANGELINA L. TRUJILLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054005. 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 720 East Grant Street, Spearfish, SD 57783. The current status is active.
| Licensee Name | ANGELINA L. TRUJILLO |
| Credential ID | 1132724 |
| Credential Number | CSP.0054005 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
720 East Grant Street Spearfish SD 57783 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-11-21 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 948923 | 1.049316 | Physician/Surgeon | 2010-11-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 720 East Grant Street |
| City | Spearfish |
| State | SD |
| Zip Code | 57783 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elissa Kay Battin | 444 St. Joe St, Spearfish, SD 57783 | Registered Nurse - Temporary | 2020-03-18 ~ 2020-07-16 |
| Bernice Jackson-carroll | 2509 Windmill Dr, Spearfish, SD 57783 | Registered Nurse | 1983-09-12 ~ 1984-02-29 |
| Larae M Giles | 1020 University St., Spearfish, SD 57783 | Respiratory Care Practitioner | 2001-09-19 ~ 2002-04-30 |
| Teresa F Breidenbach · Oneto | 211 Ponderosa Drive, Spearfish, SD 57783 | Registered Nurse | 1997-05-13 ~ 1998-05-31 |
| City | Spearfish |
| Zip Code | 57783 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Spearfish |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brenda Y Urbina Md | Po Box 196, Trujillo Alto, PR 00977-0196 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Brielle Trujillo | 301 Commons Park S Unit 1218, Stamford, CT 06902-7094 | Controlled Substance Registration for Practitioner | 2019-11-29 ~ 2021-02-28 |
| Jane P Genido-trujillo Aprn | 215 Great Brook Road, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Angelina Goenawan | 130 Division St, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2019-06-20 ~ 2021-02-28 |
| Angelina M Angeli | 613 6th Ridge Rd, Wallingford, CT 06492-2026 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Angelina N Chambers | 4001 Fannin St Apt 4318, Houston, TX 77004-4080 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Angelina Gavel-rukha | 63 Regency Park Dr, Agawam, MA 01001-2252 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| Trujillo & Trujillo Hardwood Flooring | 212 Hallock Avenue, New Haven, CT 06519 | Home Improvement Contractor | 2000-03-27 ~ 2000-11-30 |
| Trujillo Wines LLC · Trujillo Wines | 4326 Big Ranch Rd, Napa, CA 94558-1347 | Out of State Winery | 2019-07-25 ~ 2020-07-24 |
| Trujillo Brothers Company LLC · Trujillo Brothers Comapny | 615 Washington Avenue, New Haven, CT 06519 | Home Improvement Contractor | 2015-01-20 ~ 2015-11-30 |
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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).