ASSIA BENHACENE (Credential# 1327805) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 8, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.
ASSIA BENHACENE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061930. The credential type is controlled substance registration for practitioner. The effective date is January 8, 2016. The expiration date is February 28, 2017. The business address is 4202 Summerfield Dr, Turlock, CA 95382-0279. The current status is inactive.
Licensee Name | ASSIA BENHACENE |
Credential ID | 1327805 |
Credential Number | CSP.0061930 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
4202 Summerfield Dr Turlock CA 95382-0279 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2016-01-08 |
Effective Date | 2016-01-08 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1282141 | 1.054782 | Physician/Surgeon | 2015-11-23 | 2015-11-23 - 2016-09-30 | INACTIVE |
Street Address | 4202 SUMMERFIELD DR |
City | TURLOCK |
State | CA |
Zip Code | 95382-0279 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Heather R Vega | 4217 Merchant Lane, Turlock, CA 95382 | Professional Counselor | 2004-12-23 ~ 2005-11-30 |
California State University Stanislaus, Foundation | 1 University Cir, Turlock, CA 95382-3200 | Public Charity-exempt From Financial Requirements | 2013-07-05 ~ |
Karolin S David | 1360 Shady Ln Apt 426, Turlock, CA 95382-7407 | Hairdresser/cosmetician | 2018-09-01 ~ 2020-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Medic Alert Foundation United States · Medical Alert; Medic Alert Foundation; Medic Alert Foundation International | 101 Lander Ave, Turlock, CA 95380-5201 | Public Charity | 2019-09-01 ~ 2020-08-31 |
Jackson-mitchell - Turlock | 1240 South Ave, Turlock, CA 95380-5113 | Milk Dealer | 2018-07-01 ~ 2020-06-30 |
Jonathan Fox Trimble | 205 Wayside Drive, Turlock, CA 95380 | Engineer-in-training | 1991-05-14 ~ 2001-05-14 |
Yiing Wang | 530 S Tegner Rd, Turlock, CA 95380 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
Structural Analysts | 3620 Menlo, Turlock, CA 95380 | Professional Engineer | 1992-01-08 ~ 1993-01-31 |
City | TURLOCK |
Zip Code | 95382 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TURLOCK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jessica Li | Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2016-08-31 ~ 2017-02-28 |
Ron Gaeta Dvm | Po Box 599, Brookfield, CT 06804 | 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).