LAUREN M IACONO (Credential# 1352449) 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 INACTIVE.
LAUREN M IACONO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062651. 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 21 Ballard Ave, Staten Island, NY 10312-2203. The current status is inactive.
| Licensee Name | LAUREN M IACONO |
| Credential ID | 1352449 |
| Credential Number | CSP.0062651 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
21 Ballard Ave Staten Island NY 10312-2203 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2016-06-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488540 | 1.057935-RES | Resident Physician | 2016-06-28 | 2016-06-28 - 2019-06-30 | INACTIVE |
| Street Address | 21 BALLARD AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-2203 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Biana Volfinzon | 187 Arbutus Ave., Staten Island, NY 10312 | Physician/surgeon | ~ |
| Laren Encarnacion | 482 Wilson Avenue, Staten Island, NY 10312 | Registered Nurse | ~ |
| Joseph J Aliotta | 74 Robinson Ave, Staten Island, NY 10312 | Architect | 2020-08-01 ~ 2021-07-31 |
| David P Suarez | 3733 Richmond Avenue, Staten Island, NY 10312 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Raven Devincenzo Md | 59 Van Brunt St, Staten Island, NY 10312 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Yanina Gleyzer | 246 Hillcrest Street, Staten Island, NY 10312 | Master's Level Social Worker | 2019-10-01 ~ 2020-09-30 |
| Richard Louis Sosa | 15 Osage Lane, Staten Island, NY 10312 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Janice Riso | 241 Kinghorn St, Staten Island, NY 10312 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Bedzet Vejselovski · E. V. Masonry | 169 Rathbun Ave, Staten Island, NY 10312 | Home Improvement Contractor | 2006-01-25 ~ 2006-11-30 |
| Frederick A Barbieri | 62 Covington Circle, Staten Island, NY 10312 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Find all Licenses in zip 10312 | |||
| City | STATEN ISLAND |
| Zip Code | 10312 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STATEN ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren A Hai | 200 Michelle Ln Apt 303, Groton, CT 06340-4235 | Controlled Substance Registration for Practitioner | 2015-02-12 ~ 2017-02-28 |
| Lauren S. Py | 57 Kaye Vue Dr Apt A, Hamden, CT 06514-2314 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lauren E Ng | 330 Maple Ave Apt 8, Westbury, NY 11590-3382 | Controlled Substance Registration for Practitioner | 2015-03-07 ~ 2017-02-28 |
| Lauren E Kapkanoff | 56 Terrace Ave Apt 1, Naugatuck, CT 06770-4029 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren A Beebe | 8 Route 148, Killingworth, CT 06419-2300 | Controlled Substance Registration for Practitioner | 2015-03-06 ~ 2017-02-28 |
| Lauren C Harshman | 900 Chapel St Apt 304, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Lauren Audibert | 140 Forest St, Stamford, CT 06901-2133 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren B O'keefe | 33 Angelus Dr, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren E Wong | 900 Chapel St Apt 504, New Haven, CT 06510-2817 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Lauren K Tormey | 544 Columbus Ave., Boston, MA 02118 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on LAUREN M IACONO.
| 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).