DANA R PURDY (Credential# 1353079) 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.
DANA R PURDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062729. 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 16 Shelter Harbor Ct, Wading River, NY 11792-2202. The current status is inactive.
Licensee Name | DANA R PURDY |
Credential ID | 1353079 |
Credential Number | CSP.0062729 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
16 Shelter Harbor Ct Wading River NY 11792-2202 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2016-06-10 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1352931 | 23.003571 | Physician Assistant | 2016-06-09 | 2018-11-01 - 2019-10-31 | INACTIVE |
Street Address | 16 SHELTER HARBOR CT |
City | WADING RIVER |
State | NY |
Zip Code | 11792-2202 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Aldo Marletti Jr | 54 Southview Ct, Wading River, NY 11792 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
Kevin S Morgenstern | 19 Zophar Mills Rd, Wading River, NY 11792 | Engineer-in-training | 2009-06-09 ~ 2019-06-09 |
Daniel P Hilton | 30 Benjamin St, Wading River, NY 11792 | Electrical Unlimited Journeyperson | ~ |
Katherine E Waldron | P O Box 574, Wading River, NY 11792 | Physical Therapist | 1999-06-08 ~ 2000-07-31 |
Paulette Bidwell-pulito | 2 Hunter Trail, Wading River, NY 11792 | Dietitian/nutritionist | 2000-07-26 ~ 2001-09-30 |
Jeffrey Tetrault | 2863 N Wading River Rd, Wading River, NY 11792 | Heating, Piping & Cooling Unlimited Journeyperson | ~ |
Yong Bok Choi | Po Box 204, Wading River, NY 11792 | Registered Nurse | 2013-07-01 ~ 2014-06-30 |
Sean T Brady | 32 Oakwood Dr, Wading River, NY 11792 | Engineer-in-training | 1996-11-12 ~ 1906-11-12 |
Evan Edmund Duarte | Po Box 368, Wading River, NY 11792-0368 | Engineer-in-training | ~ |
Brittany D Miller | 27 Oliver St, Wading River, NY 11792-1037 | Emergency Medical Technician | 2010-10-25 ~ 2013-10-01 |
Find all Licenses in zip 11792 |
City | WADING RIVER |
Zip Code | 11792 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WADING RIVER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jason M Citarella Do | 162 Purdy Hill Rd, Monroe, CT 06468-2115 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Maria L Ferreira | 162 Purdy Hill Road, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lawrence Ogweno Olala | 269 Purdy Hill Rd, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2019-01-23 ~ 2021-02-28 |
Dana Brownell | Po Box 209, Westport, CT 06881 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dana Loo Md | 142 Everit St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Dana R Crino Md | 107 Pilgrim Rd, Wellesley, MA 02481-2527 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dana M Correale Md | 280 Amity Rd, Bethany, CT 06524-3430 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dana Ramsey Lnm | 428 Columbus Ave, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Dana J Clapsaddle | 16 Stonegate Rd, Ossining, NY 10562-3939 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dana M Roque | 120 Dwight St Apt 303, New Haven, CT 06511-4554 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).