JUSTIN D BLASBERG (Credential# 1324587) 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.
JUSTIN D BLASBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061843. 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 330 Cedar St, New Haven, CT 06510-3218. The current status is active.
| Licensee Name | JUSTIN D BLASBERG |
| Credential ID | 1324587 |
| Credential Number | CSP.0061843 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
330 Cedar St New Haven CT 06510-3218 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-12-11 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1320107 | 1.054799 | Physician/Surgeon | 2015-12-04 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 330 CEDAR ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3218 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susana Vargas Pinto | 330 Cedar St, New Haven, CT 06510-3218 | Resident Physician | 2019-08-01 ~ 2021-06-30 |
| Pramod N Bonde Md | 330 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alexander Bradley Griffin | 330 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Britt Hansen Tonnessen | 330 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David Colen | 330 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-05-18 ~ 2021-04-30 |
| Adrian A Maung Md | 330 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ariana Hannah Philbin | 330 Cedar St, New Haven, CT 06510-3218 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Derek M Steinbacher · Yale Plastic Surgery | 330 Cedar St, New Haven, CT 06510-3218 | Dental Anesthesia/conscious Sedation Permit | 2020-04-01 ~ 2021-03-31 |
| Courtney E. Gibson | 330 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kelly Olino | 330 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Eisenbarth | 330 Cedar St # Cb407, New Haven, CT 06510-3218 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Tamas Horvath | Yale University, Section of Cmed, Bml 330, New Haven, CT 06510-3218 | Medical Marijuana Research Program Employee | 2019-08-30 ~ 2020-08-29 |
| Matija Sestan-pesa | Yale University, Cmed, Bml 316, New Haven, CT 06510-3218 | Medical Marijuana Research Program Employee | 2019-08-31 ~ 2020-08-30 |
| Kimberly A Davis Md | 330 Cedar St # Bb310, New Haven, CT 06510-3218 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Wendy Leung | 310 Cedar St Fmb 320, New Haven, CT 06510-3218 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Neeta J Erinjeri | 330 Cedar St Fmb 107, New Haven, CT 06510-3218 | Resident Physician | 2017-08-01 ~ 2021-06-30 |
| Umer M Darr | 330 Cedar St # Bb204, New Haven, CT 06510-3218 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John Morton | 310 Cedar St Bml 229, New Haven, CT 06510-3218 | Controlled Substance Registration for Practitioner | 2019-06-10 ~ 2021-02-28 |
| Deepika Kumar | 310 Cedar St # Lh108, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-04-30 |
| Emre Seli | 310 Cedar St Fmb 228, New Haven, CT 06510-3218 | Controlled Substance Laboratory | 2020-02-25 ~ 2021-01-31 |
| Find all Licenses in zip 06510-3218 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin J Cohen | 835 Mix Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-09-10 ~ 2006-02-28 |
| Justin A Cross Md | Po Box 362, Kedrsavge, NH 03847 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Justin B Dessereaux | 15 Townwoods Rd, Ivoryton, CT 06442 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin M Cohen | 3 White Dr, Cedarhurst, NY 11516-2607 | Controlled Substance Registration for Practitioner | 2019-07-08 ~ 2021-02-28 |
| Justin R Valentine | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Justin M Rucci | 60 Park Ave, Hamden, CT 06517-1840 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Justin Varghese | 15 Seth Ln, Hicksville, NY 11801-6514 | Controlled Substance Registration for Practitioner | 2014-07-30 ~ 2015-02-28 |
| Justin Raanan | 75 Peterborough St Apt 710, Boston, MA 02215-4315 | Controlled Substance Registration for Practitioner | 2015-06-16 ~ 2017-02-28 |
| Justin M Gauthier | 246 Spring St Apt 17, Naugatuck, CT 06770-2950 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Charlene O Justin | 100 Church St S, New Haven, CT 06519-1703 | 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).