GENIE N BALL PA-C (Credential# 1376340) 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.
GENIE N BALL PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063925. 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 284 West Ave, Darien, CT 06820-4115. The current status is active.
| Licensee Name | GENIE N BALL PA-C |
| Credential ID | 1376340 |
| Credential Number | CSP.0063925 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
284 West Ave Darien CT 06820-4115 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-08-31 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743752 | 23.002003 | Physician Assistant | 2007-10-18 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 490934 | CSP.0042957 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-12-20 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 284 WEST AVE |
| City | DARIEN |
| State | CT |
| Zip Code | 06820-4115 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisbeth Alexandra Gutierrez | 13 Casper Street, Danbury, CT 06820 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Sonia L Morales | Po Box 2351, Darien, CT 06820 | Master's Level Social Worker | ~ |
| Belle Stobbie | 1 Salt Box Lane, Darien, CT 06820 | Registered Nurse | 2020-06-26 ~ 2021-02-28 |
| Jessica Stygares | 110 Hecker Avenue, Darien, CT 06820 | Speech and Language Pathologist | ~ |
| John M Neary | 31 Hoyt St, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kevin D Gray | 5 Old Stone Rd, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lindsay G Westbrook | 11 Oakshade Ave, Darien, CT 06820 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Darien Two Inc | 967 Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Darien Seafood Mkt Inc · Frate & Burt Seafood | 1941 Post Rd, Darien, CT 06820 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Bertucci's | 54 Boston Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06820 | |||
| City | DARIEN |
| Zip Code | 06820 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DARIEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruce Ball | Po Box 208063, New Haven, CT 06520-8063 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sarah Ball | 2 Judy Dr, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Michelle C Dimauro | 88 Ball Pond Rd, Danbury, CT 06811-2848 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian J Ball | 360 State St Apt 2411, New Haven, CT 06510-3624 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| John Pinto | 107 Button Ball Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Lou Ball Aprn | 875 Wilmette Ave #712, Ormond Beach, FL 32174 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Christina Hendry | 110 Fieldstone Terrace, Ball Ground, GA 30107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William H Ball Aprn | 875 Wilmette Avenue, Ormond Beach, FL 32174 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Mike's Sealing Genie Inc | 57 South Street, New Britain, CT 06051 | Home Improvement Contractor | 2004-01-28 ~ 2004-11-30 |
| Muse Genie | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2006-01-18 ~ 2009-01-19 |
Please comment or provide details below to improve the information on GENIE N BALL PA-C.
| 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).