NERY A DIAZ (Credential# 1157837) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is January 23, 2017. The license status is INACTIVE.
NERY A DIAZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054505. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is January 23, 2017. The business address is 950 Campbell Avenue, West Haven, CT 06516. The current status is inactive.
| Licensee Name | NERY A DIAZ |
| Credential ID | 1157837 |
| Credential Number | CSP.0054505 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
950 Campbell Avenue West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 2013-04-11 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-01-23 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1134887 | 1.051654-DO | Physician/Surgeon | 2013-02-27 | 2014-11-01 - 2015-10-31 | INACTIVE |
| Street Address | 950 Campbell avenue |
| City | West HAVEN |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mukta Dhond | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Dianne C Duffey Md | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arben Brahaj | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David T Moore | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bachaar Arnaout Md | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jana Young | 950 Campbell Avenue, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pochu Ho Md | 950 Campbell Avenue, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa A Metevelis | 950 Campbell Avenue, West Haven, CT 06770 | Interior Designer | 2020-01-01 ~ 2020-12-31 |
| Edward Belk Perry Jr | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Vasileios Panagopoulos | 950 Campbell Avenue, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | West HAVEN |
| Zip Code | 06516 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Josephine A Diaz | 162 Mountain Rd, Suffield, CT 06078 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vicente A Diaz | 495 Hawley Ln, Stratford, CT 06614-1514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frank Diaz | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Roberto Diaz Md | 513 Howellston Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Oliver B Diaz | 46 Goodwin St, Bristol, CT 06010-5807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Orlando Diaz | 179 Middletown Rd, Berlin, CT 06037-3246 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donna Diaz | 54 Coram Road, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Namyshaye Perrier-diaz | 125 W 117th St Apt 1, New York, NY 10026-2210 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ernesto Sire Diaz | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-08-23 ~ 2021-02-28 |
| Monica Diaz | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).