ANGELO DE LOS ANGELES (Credential# 1273695) 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.
ANGELO DE LOS ANGELES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059745. 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 21 Songbird Ln, Farmington, CT 06032-3442. The current status is active.
| Licensee Name | ANGELO DE LOS ANGELES |
| Credential ID | 1273695 |
| Credential Number | CSP.0059745 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
21 Songbird Ln Farmington CT 06032-3442 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-03-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1259951 | 1.053792 | Physician/Surgeon | 2015-01-22 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 21 SONGBIRD LN |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-3442 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fernanda Magalhaes Melo Manara Miletto | 12 Songbird Ln, Farmington, CT 06032-3442 | Physician/surgeon | 2018-11-01 ~ 2019-11-30 |
| Kevin W Chamberlin | 23 Songbird Ln, Farmington, CT 06032-3442 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Kimberly Kiniry Lynch | 8 Songbird Ln, Farmington, CT 06032-3442 | Massage Therapist | 2019-10-30 ~ 2021-03-31 |
| Scott C Baron | 39 Songbird Ln, Farmington, CT 06032-3442 | Public Service Technician - Telephone | 2014-10-01 ~ 2015-09-30 |
| Kristopher R Lambert | 35 Wells Dr, Farmington, CT 06032-3442 | Emergency Medical Technician | 2017-10-05 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Theresa Huh | 825 E 4th St. #410, Los Angeles, CA 90013 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christina J Wai | 1021 S Ridgeley Dr, Los Angeles, CA 90019-2508 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Richard G Boles | Med Genetics Box 90, Los Angeles, CA 90027 | Controlled Substance Registration for Practitioner | 1993-07-09 ~ 1995-07-01 |
| Leo Polosajian Md | 130 South Flores St #307, Los Angeles, CA 90048 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Shauna P Higgins | Po Box 88337, Los Angeles, CA 90009 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lily Dara Md | 1983 Marengo Ave, Los Angeles, CA 06511-3975 | Controlled Substance Registration for Practitioner | 2009-04-28 ~ 2011-02-28 |
| Jay R Lieberman Md | 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Abraham Malkin | 11948 Gorham Ave Apt 3, Los Angeles, CA 90049-5394 | Controlled Substance Registration for Practitioner | 2019-10-17 ~ 2021-02-28 |
| Radhakrishnan Ramaraj | 321 S San Vicente Blvd Apt 102, Los Angeles, CA 90048-3332 | Controlled Substance Registration for Practitioner | 2013-07-08 ~ 2015-02-28 |
| Roger F Donenfeld Md | 10557 Rocca Pl, Los Angeles, CA 90077 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on ANGELO DE LOS ANGELES.
| 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).