HAROLD R BANDALAN (Credential# 1393575) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 13, 2016. The license expiration date date is February 28, 2019. The license status is LAPSED.
HAROLD R BANDALAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064467. The credential type is controlled substance registration for practitioner. The effective date is December 13, 2016. The expiration date is February 28, 2019. The business address is Cty Rd 2311, Arp, TX 75750. The current status is lapsed.
| Licensee Name | HAROLD R BANDALAN |
| Credential ID | 1393575 |
| Credential Number | CSP.0064467 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Cty Rd 2311 Arp TX 75750 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-12-13 |
| Effective Date | 2016-12-13 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1387363 | 12.006877 | Advanced Practice Registered Nurse | 2016-12-12 | 2016-12-12 - 2017-09-30 | INACTIVE |
| 1387362 | 10.138629 | Registered Nurse | 2016-11-16 | 2016-11-16 - 2017-09-30 | INACTIVE |
| Street Address | CTY RD 2311 |
| City | ARP |
| State | TX |
| Zip Code | 75750 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pennie Y Charron | 13614 County Road 2299, Arp, TX 75750-3026 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Jennifer Helen Bailey | 17505 E Lake Estates Dr, Arp, TX 75750-9805 | Registered Nurse | 2018-09-28 ~ 2018-12-31 |
| City | ARP |
| Zip Code | 75750 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ARP |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harold L Paz | 14 Surf Rd, Westrport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Harold Hutensky | 351 Merline Rd, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2009-03-03 ~ 2011-02-28 |
| Harold Orlow Dds | 555 Newfield Ave, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Harold R Rosenblatt Md | 18 E Milton Rd, Brookline, MA 02445 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Harold S Ince Dds | 226 Dixwell Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Harold S Diamond | 295 Washington Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 1999-03-02 ~ 2000-02-28 |
| Harold E Phillips Md | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jan Harold D Sia Md | 142 Howard Avenue, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2010-12-09 ~ 2013-02-28 |
| Harold J Bodin Md | 263 Old Salem Rd, Bozrah, CT 06334-1513 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Harold E Beam | 300 Hebron Ave Ste 101, Glastonbury, CT 06033-2176 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on HAROLD R BANDALAN.
| 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).