NATASHA C COLEBURN (Credential# 1163560) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 15, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
NATASHA C COLEBURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054694. The credential type is controlled substance registration for practitioner. The effective date is May 15, 2013. The expiration date is February 28, 2015. The business address is 2830 Nw 191st St, Miami Gardens, FL 33056-3149. The current status is inactive.
Licensee Name | NATASHA C COLEBURN |
Credential ID | 1163560 |
Credential Number | CSP.0054694 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
2830 Nw 191st St Miami Gardens FL 33056-3149 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2013-05-15 |
Effective Date | 2013-05-15 |
Expiration Date | 2015-02-28 |
Refresh Date | 2017-05-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1149290 | 23.002906 | Physician Assistant | 2013-05-01 | 2013-05-01 - 2014-05-31 | INACTIVE |
Street Address | 2830 NW 191ST ST |
City | MIAMI GARDENS |
State | FL |
Zip Code | 33056-3149 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sharon L Powell | 20248 North West, Miami, FL 33056 | Registered Nurse | 2000-12-18 ~ 2002-01-31 |
Diedre A Martin | 2877 Nw 204th St, Miami, FL 33056 | Hairdresser/cosmetician | 1993-06-24 ~ 1994-06-30 |
Jasmine A Stephenson | 18515 Nw 22nd Court, Miami, FL 33056 | Registered Nurse | 2003-02-04 ~ 2004-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Damon C Baldwin | 19115 Nw 10th Pl, Miami Gardens, FL 33169-3147 | Electrical Unlimited Contractor | 2020-01-10 ~ 2020-09-30 |
Kathleen Dumas | 4210 Nw 173rd Dr, Miami Gardens, FL 33055-3704 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Alberto Leyva | 16081 Nw 38th Pl, Miami Gardens, FL 33054-6735 | Registered Nurse | 2018-09-11 ~ 2019-07-31 |
Yamil C Rojas | 17815 Nw 57th Ave, Miami Gardens, FL 33055-3125 | Elevator Trainee | 2019-03-13 ~ 2019-08-31 |
Jeffrey L Kang Md | 1000 Park Centre Blvd, Miami Gardens, FL 33169-5373 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Edith Ijeoma Adigwe | 20412 Nw 38 Place, Miami Gardens, FL 33055 | Registered Nurse - Temporary | 2018-03-14 ~ 2018-07-11 |
Billie R Dwight | 18325 Nw 39th Ave, Miami Gardens, FL 33055-2817 | Registered Nurse | 2017-01-01 ~ 2017-12-31 |
Linnette R Rhoden | 3851 Nw 210th Ter, Miami Gardens, FL 33055-1153 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
Alfredo Dominguez Jr | 5001 Nw 190th St, Miami Gardens, FL 33055-2445 | Elevator Trainee | 2014-03-10 ~ 2014-08-31 |
Roudy Thomas | 21207 Nw 14 Place #128, Miami Gardens, FL 33169 | Registered Nurse | 2009-05-20 ~ 2010-05-31 |
Find all Licenses in MIAMI GARDENS |
City | MIAMI GARDENS |
Zip Code | 33056 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIAMI GARDENS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Natasha S Surette | 15 Farrar St, Cambridge, MA 02138 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Natasha A Spencer Md | 247 Davis St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Natasha S Chokshi | 180 Country Rd, Agawam, MA 01001-1613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Natasha Shapiro | 129 York St Apt 8c, New Haven, CT 06511-5662 | Controlled Substance Registration for Practitioner | 2011-06-14 ~ 2013-02-28 |
Natasha Hameed | 34 Eliza Ln Apt 121, Bloomfield, CT 06002-5471 | Controlled Substance Registration for Practitioner | 2019-04-12 ~ 2021-02-28 |
Natasha Namdani | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Natasha Kelly | 445 Beaver Street, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Natasha M Mcewan | 950 Campbell Ave, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Natasha M Lever Aprn | 227 Church St Apt 5g, New Haven, CT 06510-1825 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Natasha Jean-charles | 25 Grand St Apt 214, Norwalk, CT 06851-3526 | Controlled Substance Registration for Practitioner | 2013-05-06 ~ 2015-02-28 |
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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).