JUSTINA A ANTONIO PA (Credential# 1166808) 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 February 28, 2017. The license status is INACTIVE.
JUSTINA A ANTONIO PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054791. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 80 Mill River St Suite 1300, Stamford, CT 06902. The current status is inactive.
| Licensee Name | JUSTINA A ANTONIO PA |
| Credential ID | 1166808 |
| Credential Number | CSP.0054791 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
80 Mill River St Suite 1300 Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-08-08 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743140 | 23.001391 | Physician Assistant | 2003-10-01 | 2014-11-01 - 2015-10-31 | INACTIVE |
| 359150 | CSP.0034514 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 80 MILL RIVER ST SUITE 1300 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justina S. Cho Dds | 9 Elderslie Ln, Woodbridge, CT 06525-1038 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Antonio Thomas | 128 Bay Ave, New Britain, CT 06053-2205 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Antonio J Silva | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Daniel A Escobar | 4 Morning Grn, San Antonio, TX 78257-2602 | Controlled Substance Registration for Practitioner | 2015-05-29 ~ 2017-02-28 |
| Randy L Olson | 8502 Driftwood Hl, San Antonio, TX 78255-2244 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Orlando J Encarnacion Md | 300 E Basse Rd Apt 1304, San Antonio, TX 78209-8383 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Antonio D'aria Do | 4 Brushy Plain Rd Ste 519, Branford, CT 06405-6000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christina M Perdikis Pa | 8842 Laguna Fls, San Antonio, TX 78251-4957 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Christina Z M Golden Md | 10650 Culebra Rd # 104-530, San Antonio, TX 78251-4949 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
| Antonio J Dajer Md | 66 Lockwood Lane, Riverside, CT 06878 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JUSTINA A ANTONIO PA.
| 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).