RALPH G MEMBRINO DMD (Credential# 146637) 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.
RALPH G MEMBRINO DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009476. 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 571 Wolcott St, Waterbury, CT 06705. The current status is lapsed.
| Licensee Name | RALPH G MEMBRINO DMD |
| Credential ID | 146637 |
| Credential Number | CSP.0009476 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
571 Wolcott St Waterbury CT 06705 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 701181 | 2.005805 | Dentist | 1980-06-21 | 2017-05-01 - 2018-04-30 | INACTIVE |
| Street Address | 571 WOLCOTT ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy L Gonzalez | 141 Decicco Road, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Cara Anne Mahony | 80 Craigie Ave, Waterbury, CT 06705 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jocelyn Dennise Garcia | 38 Stonewall Lane, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Rosa Tenezaca | 24 Wall St Apt 1st, Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Spinella Bakery | 53 Interstate Lane, Waterbury, CT 06705 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Penelope Ortiz | 42 Gayridge Rd Apt 3-1, Waterbury, CT 06705 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Sandra Arias | 57 Howard St., Waterbury, CT 06705 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Waldemar Lopes | 10 Mansfield Ave, Waterbury, CT 06705 | Medication Administration Certification | 2020-05-16 ~ 2022-05-15 |
| Briana Yvette Hurdle | 235 Academy Avenue, Waterbury, CT 06705 | Esthetician | ~ |
| Jason Bradway | 93 Midland Road, Waterbury, CT 06705 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06705 | |||
| City | WATERBURY |
| Zip Code | 06705 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ralph M Falk | P.o. Box 369, Exeter, NH 03833-0369 | Controlled Substance Registration for Practitioner | 1995-10-02 ~ 1997-02-28 |
| Ralph L Finger Md | Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Ralph F Deutchman Md | 47 Oak St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Ralph J Bozza Dmd | 47 Main St, Terryville, CT 06786 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ralph M Debiasi | Po Box 208017, New Haven, CT 06520-8017 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ralph K Sambor | 359 Farmington Ave., Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2017-06-16 ~ 2019-02-28 |
| Ralph Rosenberg Md | 38 Cheltenham Way, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ralph J Burnard II | 27 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 1993-06-14 ~ 1995-07-01 |
| Ralph V Tremaglio | 305 Church St, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ralph Hunt | 215 Danbury Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on RALPH G MEMBRINO DMD.
| 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).