SHANNON M BERTOLINO DVM (Credential# 1243672) 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.
SHANNON M BERTOLINO DVM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058659. 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 31 Gracey Rd, Canton, CT 06019-2471. The current status is active.
Licensee Name | SHANNON M BERTOLINO DVM |
Credential ID | 1243672 |
Credential Number | CSP.0058659 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
31 Gracey Rd Canton CT 06019-2471 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-02-27 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-20 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
772652 | 47.002978 | Veterinarian | 2003-07-02 | 2019-11-01 - 2020-10-31 | ACTIVE |
361664 | CSP.0034534 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
Street Address | 31 Gracey Rd |
City | CANTON |
State | CT |
Zip Code | 06019-2471 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Canton Community Nursery School | 125 Dowd Ave, Canton, CT 06019-2471 | Child Care Center | 2017-10-01 ~ 2021-09-30 |
Julius A Ziemba | 111 Dowd Ave, Canton, CT 06019-2471 | Home Improvement Salesperson | 2011-11-21 ~ 2012-11-30 |
Canton Community Nursery School Inc | 125 Dowd Ave, Canton, CT 06019-2471 | Raffle Permit Class 2 | 2017-12-18 ~ 2018-02-03 |
Canton Community Baptist Church | 125 Dowd Ave, Canton, CT 06019-2471 | Raffle Permit Class 1 | 2012-07-20 ~ 2012-10-20 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06019 |
City | CANTON |
Zip Code | 06019 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CANTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shannon S Maher | 16 Cat Rock Rd, Cos Cob, CT 06807-1704 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Shannon B Widderick Pa | 354 Birnie Ave, Springfield, MA 01107-1108 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Shannon L Degroff | 11 Acre Way, Southington, CT 06489-2253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shannon T Ormsbee | 209 Timberlake Dr, Fayetteville, NC 28314-1241 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Shannon D Hall | 640 Urlacher Dr, Murfreesboro, TN 37129-8998 | Controlled Substance Registration for Practitioner | 2010-02-04 ~ 2019-02-28 |
Shannon M Lynch | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shannon P Marsh | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shannon L Oteri | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Shannon M Marcotte Do | 71 Haynes St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Shannon Sullivan | 41 Brewster Rd, Bristol, CT 06010-5161 | 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).