ANDREA L GILLIS (Credential# 1352332) 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.
ANDREA L GILLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062625. 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 162 Britiani Rd, Southbury, CT 06488-4651. The current status is active.
| Licensee Name | ANDREA L GILLIS |
| Credential ID | 1352332 |
| Credential Number | CSP.0062625 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
162 Britiani Rd Southbury CT 06488-4651 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-05-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1671163 | CSP.0071688 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-25 | 2019-06-25 - 2021-02-28 | ACTIVE |
| 1650649 | 1.063741-DO | Physician/Surgeon | 2019-06-24 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1488425 | 1.057820-RES | Resident Physician | 2016-06-28 | 2016-06-28 - 2019-06-30 | INACTIVE |
| Street Address | 162 BRITIANI RD |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-4651 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hillary E. Miller | 42 Britiani Rd, Southbury, CT 06488-4651 | Dietitian/nutritionist | 2020-03-01 ~ 2021-02-28 |
| 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 |
|---|---|---|---|
| Tiffany A Gillis | 11 Courtland Dr, Huntington, CT 06484 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Laura J Gillis Md | 13 Courtland St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Kristin L Gillis | Department of Surgery, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea L Meyer | 490 River Rd, Putnam, CT 06260-2928 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea M Montgomery | Dept of Ob Gyn, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Maura D'andrea | 19 Ozone Rd, Branford, CT 06405-5509 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea L Looney | 67 Munson Rd, Chesterfield, MA 01012-9712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea Stewart | 202 Mirra Dr, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea L Barry Md | 103 Newtown Rd, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea R Lombardi | 16 Kenfield Ln, Waterbury, CT 06708-1509 | Controlled Substance Registration for Practitioner | 2019-05-16 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANDREA L GILLIS.
| 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).