AMY T CARLSON
Controlled Substance Registration for Practitioner


Address: 417 Highland Ave, Waterbury, Ct, CT 06614-5246

AMY T CARLSON (Credential# 1308109) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

AMY T CARLSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061401. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 417 Highland Ave, Waterbury, Ct, CT 06614-5246. The current status is lapsed.

Basic Information

Licensee Name AMY T CARLSON
Credential ID 1308109
Credential Number CSP.0061401
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 417 Highland Ave
Waterbury, Ct
CT 06614-5246
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2015-09-01
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1303752 12.006247 Advanced Practice Registered Nurse 2015-08-13 2017-07-01 - 2018-06-30 INACTIVE
926833 10.093945 Registered Nurse 2010-06-01 2017-07-01 - 2018-06-30 INACTIVE

Office Location

Street Address 417 Highland Ave
City Waterbury, CT
State CT
Zip Code 06614-5246

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Licensee Name Office Address Credential Effective / Expiration
Yale Comfort Shoe LLC 305 Boston Ave Ste 101, Stratford, CT 06614-5246 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-05-04 ~ 2021-06-30
Equinox Home Care, LLC 305 Boston Ave Ste 308, Stratford, CT 06614-5246 Home Health Care 2019-06-19 ~ 2022-03-31
Equinox Home Care LLC 305 Boston Ave Ste 308, Stratford, CT 06614-5246 Home Health Care 2017-10-01 ~ 2020-09-30

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Licensee Name Office Address Credential Effective / Expiration
Nicole Marie Minaudo 80 Barrows Ter, Stratford, CT 06614 Registered Nurse 2020-09-01 ~ 2021-08-31
Constance Greene 65 Pamela Drive, Stratford, CT 06614 Registered Nurse 2020-08-01 ~ 2021-07-31
Courtney M Blaze 90 Mercer Street, Stratford, CT 06614 Massage Therapist 2020-07-01 ~ 2022-06-30
William E Rosner Md 81 B Seminole Lane, Stratford, CT 06614 Physician/surgeon 2020-07-01 ~ 2021-06-30
Demetrius I Mcqueen 60 Emerald Pl, Stratford, CT 06614 Real Estate Salesperson 2020-06-26 ~ 2021-05-31
Alan Goldberg 1825 Barnum Ave, Stratford, CT 06614 Dentist 2020-09-01 ~ 2021-08-31
Kimberly L Matakevich 1367 Nichols Avenue, Stratford, CT 06614 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Marybeth Nemergut 990 Chapel St, Stratford, CT 06614 Registered Nurse 2020-08-01 ~ 2021-07-31
Geraldine C Corry 135 Wigwam Lane, Stratford, CT 06614 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Kathleen Sajgovic 300 Post Oak Rd, Stratford, CT 06614 Registered Nurse 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06614

Competitor

Search similar business entities

City Waterbury, CT
Zip Code 06614
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Waterbury, CT

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Dataset Information

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).

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