JEROME A CARIASO (Credential# 1341579) 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.
JEROME A CARIASO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062324. 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 141 Rocky Mountain Road, Southbury, CT 06488. The current status is active.
| Licensee Name | JEROME A CARIASO |
| Credential ID | 1341579 |
| Credential Number | CSP.0062324 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
141 Rocky Mountain Road Southbury CT 06488 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-04-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 558746 | 1.041163 | Physician/Surgeon | 2003-03-03 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 334915 | CSP.0033339 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 141 ROCKY MOUNTAIN ROAD |
| City | Southbury |
| State | CT |
| Zip Code | 06488 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | Southbury |
| Zip Code | 06488 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Southbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jerome L Lichtenstein | 113 Lafayette St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joshua K Malouin | 339 Jerome Ave, Burlington, CT 06013-2434 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerome F Odlum Dmd | Courtyard #20, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jerome Gnanaraj | 235 Seymour Ave, Derby, CT 06418-1325 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Deanna L Michaud | 378 Jerome Ave, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sunil Shah | 19 Jerome Dr, Farmingdale, NY 11735-1810 | Controlled Substance Registration for Practitioner | 2018-12-21 ~ 2021-02-28 |
| Bruce Rothschild | 34 Jerome Ave Ste 110, Bloomfield, CT 06002-2463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerome W Takiff | 895 E Main St, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Emily M Mensel | 339 Jerome Ave, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerome O Sugar | 171 Grandview Ave, Waterbury, CT 06708-2517 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on JEROME A CARIASO.
| 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).