ALEXANDRA R VITALE (Credential# 1316156) 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.
ALEXANDRA R VITALE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061612. 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 15 Riverside Ave, Bristol, CT 06010-5161. The current status is active.
| Licensee Name | ALEXANDRA R VITALE |
| Credential ID | 1316156 |
| Credential Number | CSP.0061612 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15 Riverside Ave Bristol CT 06010-5161 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-10-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1313423 | 23.003455 | Physician Assistant | 2015-10-09 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 15 Riverside Ave |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-5161 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark D Watson Md | 15 Riverside Ave, Bristol, CT 06010 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Liran Blum | 15 Riverside Ave, Bristol, CT 06010-6951 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Cara Pittari | 15 Riverside Ave, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bristol Hospital Inc | 41 Brewster Rd, Bristol, CT 06010-5161 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Meghan Js Canedy | 41 Brewster Rd, Bristol, CT 06010-5161 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Orlee Panitch | 41 Brewster Rd, Bristol, CT 06010-5161 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Bristol Hospital Inc. · Bristol Hospital, Inc. | 41 Brewster Rd, Bristol, CT 06010-5161 | General Hospital | 2019-04-01 ~ 2021-03-31 |
| Tong Dai | 41 Brewster Rd, Bristol, CT 06010-5161 | Controlled Substance Registration for Practitioner | 2019-04-05 ~ 2021-02-28 |
| Joseph J Ambrogio | 41 Brewster Rd, Bristol, CT 06010-5161 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul G Harvill Md | 41 Brewster Rd, Bristol, CT 06010-5161 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shannon Sullivan | 41 Brewster Rd, Bristol, CT 06010-5161 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Paul E Neagle | 41 Brewster Rd, Bristol, CT 06010-5161 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Patrick M Mcmahon | 41 Brewster Rd, Bristol, CT 06010-5161 | Advanced Practice Registered Nurse | 2014-07-01 ~ 2015-06-30 |
| Find all Licenses in zip 06010-5161 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Vitale Dmd | 111 Park St #1e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neil B Vitale Md | 160 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carolyn J Vitale | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Marie P Vitale Md | 7 Hidden Trail, Spencerport, NY 14559 | Controlled Substance Registration for Practitioner | 2017-07-12 ~ 2019-02-28 |
| Michael G Vitale Md | 3959 Broadway 8n, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2015-01-30 ~ 2017-02-28 |
| Glenn C Vitale Dpm | 385 Main Street, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra Hawkins | 541 E 20th St Apt 10d, New York, NY 10010-7614 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Alexandra None Byrne Dmd | 5 Eversley Ave, Norwalk, CT 06851-5821 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra C Judah | 32 Barnabas Rd, Newtown, CT 06470-1228 | Controlled Substance Registration for Practitioner | 2017-06-16 ~ 2019-02-28 |
| Alexandra Zavin | 539 E 78th St #6i, New York, NY 10075 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).