ANDREA BANTY (Credential# 1383021) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 9, 2019. The license expiration date date is February 28, 2019. The license status is INACTIVE.
ANDREA BANTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064165. The credential type is controlled substance registration for practitioner. The effective date is January 9, 2019. The expiration date is February 28, 2019. The business address is 945 Main St, Manchester, CT 06040-6064. The current status is inactive.
| Licensee Name | ANDREA BANTY |
| Credential ID | 1383021 |
| Credential Number | CSP.0064165 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
945 Main St Manchester CT 06040-6064 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - SURRENDERED |
| Issue Date | 2016-10-07 |
| Effective Date | 2019-01-09 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1369143 | 12.006734 | Advanced Practice Registered Nurse | 2016-09-13 | 2016-12-01 - 2017-11-30 | INACTIVE |
| 1000359 | 10.100865 | Registered Nurse | 2011-07-11 | 2016-12-01 - 2017-11-30 | INACTIVE |
| Street Address | 945 MAIN ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-6064 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cristi A. Page | 945 Main St Ste 307, Manchester, CT 06040-6064 | Massage Therapist | 2019-08-01 ~ 2021-07-31 |
| Matthew D Rogers | 945 Main St Ste 101, Manchester, CT 06040-6064 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph J Guardino II | 945 Main St Ste 308, Manchester, CT 06040-6064 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea L Heckendorf | Po Box 242, East Woodstock, CT 06244-0242 | 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 |
| Andrea Berg | 64 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Andrea L Gillis | 162 Britiani Rd, Southbury, CT 06488-4651 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maura D'andrea | 19 Ozone Rd, Branford, CT 06405-5509 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea Shahum | 56 Valley Rd, Stamford, CT 06902-2812 | Controlled Substance Registration for Practitioner | 2019-08-05 ~ 2021-02-28 |
| Andrea Calderon Odewald Pa | Psc 482 Box 2946, Fpo Ap, 96362 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Andrea L Looney | 67 Munson Rd, Chesterfield, MA 01012-9712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea S Cziffer | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Andrea M. Galella | 5 Cambridge Cir, New Milford, CT 06776-3921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANDREA BANTY.
| 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).