KARINA J VERGARA (Credential# 1364498) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
KARINA J VERGARA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063406. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 435 Willard Ave, Newington, CT 06111-2318. The current status is lapsed.
Licensee Name | KARINA J VERGARA |
Credential ID | 1364498 |
Credential Number | CSP.0063406 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
435 Willard Ave Newington CT 06111-2318 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2016-07-06 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1348475 | 2.011603 | Dentist | 2016-05-11 | 2017-12-01 - 2018-11-30 | INACTIVE |
1234943 | CSP.0058140 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-22 | 2014-07-22 - 2015-02-28 | INACTIVE |
Street Address | 435 WILLARD AVE |
City | NEWINGTON |
State | CT |
Zip Code | 06111-2318 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexa R Veeder | 435 Willard Ave, Newington, CT 06111 | Chiropractor | 2019-01-01 ~ 2019-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mitchel Strand Od | 485 Willard Ave, Newington, CT 06111-2318 | Optometrist | 2020-06-01 ~ 2021-05-31 |
Craig A Stasulis | 435 Willard Ave Unit D, Newington, CT 06111-2318 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Family Homecare Assistance LLC | 445a Willard Ave, Newington, CT 06111-2318 | Homemaker Companion Agency | 2019-11-01 ~ 2020-10-31 |
Maria Y Romaniak-kumik Dds | 485 Willard Ave Bldg 3, Newington, CT 06111-2318 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Willard Avenue Dialysis | 445 Willard Ave Bldg 2, Newington, CT 06111-2318 | Hemodialysis | 2019-01-01 ~ 2020-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
Find all Licenses in zip 06111 |
City | NEWINGTON |
Zip Code | 06111 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karina M Haber | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Karina M Berg | 56 N Pease Rd, Woodbridge, CT 06525-1648 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Karina R. Weiss | 200 Retreat Ave, Hartford, CT 06106-3309 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Karina Kuruvilla | 59 Cobblestone Court, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Karina N Engelke | 16 Terrace Rd, West Hartford, CT 06107-3130 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Karina Szczepanczyk | 38 Fairway Drive, Ledyard, CT 06339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Karina T Canadas | 123 York Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Karina Goykman Dds · Shienkman | 46 Stoneham Drive, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Karina Victoria | Connecticut Brand Registration, CT 06106 | Liquor Brand Label | 2017-03-23 ~ 2020-03-21 |
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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).