TONY OLOF SANDSTROM (Credential# 1468382) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 27, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
TONY OLOF SANDSTROM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067259. The credential type is controlled substance registration for practitioner. The effective date is December 27, 2017. The expiration date is February 28, 2019. The business address is 7400 San Pedro Dr Ne Apt 2107, Albuquerque, NM 87109-4697. The current status is lapsed.
| Licensee Name | TONY OLOF SANDSTROM |
| Credential ID | 1468382 |
| Credential Number | CSP.0067259 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7400 San Pedro Dr Ne Apt 2107 Albuquerque NM 87109-4697 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2017-12-27 |
| Effective Date | 2017-12-27 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1455147 | 10.147402 | Registered Nurse | 2017-12-22 | 2017-12-22 - 2018-05-31 | INACTIVE |
| 1455149 | 12.007422 | Advanced Practice Registered Nurse | 2017-12-22 | 2017-12-22 - 2018-05-31 | INACTIVE |
| Street Address | 7400 SAN PEDRO DR NE APT 2107 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4697 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| American Indian Science and Engineering Society | 4263 Montgomery Blvd Ne, Albuquerque, NM 87109 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| John Basil Grapsas | 6030 Katson Ne, Albuquerque, NM 87109 | Professional Engineer | 2001-07-17 ~ 2002-01-31 |
| Lynn Wanderer-potter | 5340 San Mateo Ne, Albuquerque, NM 87109 | Physician Assistant | 1981-01-01 ~ 1994-07-31 |
| Constance A Martin | 7524 Northridge St, Albuquerque, NM 87109 | Registered Nurse | 1995-03-20 ~ 1996-03-31 |
| Maureen D Quinn | 8915 Liberty Dr Ne, Albuquerque, NM 87109 | Registered Nurse | 1995-02-14 ~ 1995-12-31 |
| Jeffrey J Supple | 7000 Louisiana Blvd, Albuquerque, NM 87109 | Dentist | 1981-01-01 ~ 1993-08-31 |
| Sandra B Rausch | 7625 Arroyd Del 050, Albuquerque, NM 87109 | Registered Nurse | 2000-10-02 ~ 2001-09-30 |
| Jeffrey H Karp | 5404 Montgomery Blvd Ne, Albuquerque, NM 87109 | Dentist | 1998-12-04 ~ 2000-01-31 |
| Darlyn B Josef · Decampo | 7501 Montgomery Blvd. Ne, Albuquerque, NM 87109 | Registered Nurse | 2003-01-30 ~ 2004-01-31 |
| National Specialty Services Inc | 5801 Midway Park Boulevard Ne, Albuquerque, NM 87109 | Wholesaler of Drugs, Cosmetics & Medical Devices | 1997-08-26 ~ 1998-06-30 |
| Find all Licenses in zip 87109 | |||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALBUQUERQUE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tony J D'occhio | 25 Durham Rd, Madison, CT 06443-2631 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tony Zung Md | 600 Hosking Ave Apt 37d, Bakersfield, CA 93307-5731 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Tony Chow | 405 E 82nd St Apt 3c, New York, NY 10028-6044 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tony A Schwartz | 16 Ledgewood Rd Apt 105, Groton, CT 06340-4289 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tony N Rianprakaisang | 10 Main St Unit 218, Berlin, CT 06037-2660 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Tony P Hill | 95 Loubier Drive, Somers, CT 06071 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tony S Cruz-mcleod | 2147 E 17th St Apt 4a, Brooklyn, NY 11229-4444 | Controlled Substance Registration for Practitioner | 2013-07-24 ~ 2015-02-28 |
| Tony L Peterson Dds | Naval Ambulatory Care Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| 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 |
| Tony Luis · Tony's Carpentry | 37 Clover St, Waterbury, CT 06706 | Home Improvement Contractor | ~ 1995-03-01 |
Please comment or provide details below to improve the information on TONY OLOF SANDSTROM.
| 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).