TATYANA DIVINO
Controlled Substance Registration for Practitioner


Address: 44 Gerald Dr, Manchester, CT 06040

TATYANA DIVINO (Credential# 1161331) 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.

Business Overview

TATYANA DIVINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054616. 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 44 Gerald Dr, Manchester, CT 06040. The current status is active.

Basic Information

Licensee Name TATYANA DIVINO
Credential ID 1161331
Credential Number CSP.0054616
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 44 Gerald Dr
Manchester
CT 06040
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-05-17
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1167438 1.052233-DO Physician/Surgeon 2013-07-15 2020-01-01 - 2020-12-31 ACTIVE
537896 CSP.0045959 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-07-31 2009-07-31 - 2011-02-28 INACTIVE

Office Location

Street Address 44 Gerald Dr
City Manchester
State CT
Zip Code 06040

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Steven Tierinni 44 Gerald Dr, Manchester, CT 06040 Home Improvement Salesperson 2007-12-01 ~ 2008-11-30

Licenses in the same zip code

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Mary Fosuah Nketia 61 Cougar Drive, Manchester, CT 06040 Registered Nurse 2020-08-01 ~ 2021-07-31
New Seasons Inc. 164 East Center Street, Manchester, CT 06040 Public Charity 2019-06-01 ~ 2020-05-31
Kaylen Lam 60 Chlistone Lane, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Matilde Altamirano 415 Gardner Street, Manchester, CT 06040 Nail Technician 2020-06-27 ~ 2022-04-30
Meilan Meilan Chen 174 Middle Tpke, Manchester, CT 06040 Nail Technician ~
Prince Acheampong 32 Bigelow Street, Manchester, CT 06040 Notary Public Appointment ~
Erin C Boyle 470 Porter Street, Manchester, CT 06040 Registered Nurse 2020-07-01 ~ 2021-06-30
Dejone Mitchell 64 Ruby Dr Apt. P, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Tabia Thornton-bey 103 Walek Farms Road, Manchester, CT 06040 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06040

Competitor

Search similar business entities

City Manchester
Zip Code 06040
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Manchester

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Dataset Information

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).

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