CARLI R WILLARD (Credential# 1179231) 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.
CARLI R WILLARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055889. 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 138 Holly Hill Dr, Southington, CT 06489. The current status is active.
| Licensee Name | CARLI R WILLARD |
| Credential ID | 1179231 |
| Credential Number | CSP.0055889 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
138 Holly Hill Dr Southington CT 06489 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-08-13 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1174162 | 12.005433 | Advanced Practice Registered Nurse | 2013-08-06 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1164634 | 10.111821 | Registered Nurse | 2013-07-01 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1165815 | 10.111321-TEMP | Registered Nurse - Temporary | 2013-05-28 | 2013-05-28 - 2013-09-24 | INACTIVE |
| Street Address | 138 Holly Hill Dr |
| City | Southington |
| State | CT |
| Zip Code | 06489 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | Southington |
| Zip Code | 06489 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Southington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carly M Oslin | 88 Carli Blvd, Colchester, CT 06415-1877 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Willard Correctional Institution | 391 Shaker Rd, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jane C Chi Md | 454 B1 Willard Ave, Newington, CT 06111 | Controlled Substance Registration for Practitioner | ~ |
| Lei Zou Md | 195 Willard Street, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gal Yaniv | 154 Willard St, New Haven, CT 06515-2030 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Nicole Patricio | 48 Willard St, New Bedford, MA 02744-1515 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carol A Specter | 555 Willard Ave, Newington, CT 06111-2631 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael E Gordon Jr | 35 Willard St Apt.6a, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Juma S Mbwana | 37 Willard St Apt 7b, New Haven, CT 06515-2145 | Controlled Substance Registration for Practitioner | 2013-05-20 ~ 2015-02-28 |
| Nancy A Condro | 45 Willard Ter, Stamford, CT 06903-4928 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CARLI R WILLARD.
| 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).