ALYSSA SAMANCIOGLU BENNETT (Credential# 1334760) 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.
ALYSSA SAMANCIOGLU BENNETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062149. 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 Connecticut Children's Adolescent Medicine Clinic, Farmington, CT 06032-1901. The current status is active.
| Licensee Name | ALYSSA SAMANCIOGLU BENNETT |
| Credential ID | 1334760 |
| Credential Number | CSP.0062149 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Connecticut Children's Adolescent Medicine Clinic Farmington CT 06032-1901 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-02-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1330301 | 1.054925 | Physician/Surgeon | 2016-02-22 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 945011 | CSP.0048243 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-11-10 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | CONNECTICUT CHILDREN'S ADOLESCENT MEDICINE CLINIC |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-1901 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kara M Burkhart | 501 Farmington Ave, Farmington, CT 06032-1901 | Acupuncturist | 2020-02-01 ~ 2022-01-31 |
| Connecticut Children's Medical Center Ambulatory Surgery Center | 505 Farmington Ave, Farmington, CT 06032-1901 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Jennifer E. Madan-cohen | 505 Farmington Ave Ste 200, Farmington, CT 06032-1901 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul A Guardino Md | 501 Farmington Ave, Farmington, CT 06032-1901 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Francis Dimario | 505 Farmington Ave, Farmington, CT 06032-1901 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Connecticut Senior Homecare LLC | 501 Farmington Ave, Farmington, CT 06032-1901 | Homemaker Companion Agency | 2020-01-15 ~ 2020-10-31 |
| Prestige Properties LLC | 501 Farmington Ave, Farmington, CT 06032-1901 | Real Estate Broker | 2011-08-03 ~ 2012-03-31 |
| 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 |
|---|---|---|---|
| Alyssa Lynn Bennett | 3 Morningside Dr, West Warwick, RI 02893-2008 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alyssa M Abo | 101 Orange St Apt 240, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Alyssa L Anderson | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Alyssa H Rathod | 129 York St Apt 4-0, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Alyssa S. Tuozzoli | 189 Rogers Ave, Milford, CT 06460-6442 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alyssa Gillego | 77 Lafayette Pl Ste 302, Greenwich, CT 06830-5426 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alyssa Lodato | 7 Ponderosa Dr, Greenwich, CT 06830-4010 | Controlled Substance Registration for Practitioner | 2019-12-03 ~ 2021-02-28 |
| Alyssa Illig | 1 Rock Ln, Guilford, CT 06437-3530 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alyssa Willard | 1674 Folly Rd, Charleston, SC 29412 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alyssa French Md | 510 Hoydens Hill Rd, Fairfield, CT 06824 | 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).