YOLANDA M PENA MD (Credential# 148248) 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.
YOLANDA M PENA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010856. 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 40 Dale Rd Ste 104, Avon, CT 06001-3692. The current status is active.
| Licensee Name | YOLANDA M PENA MD |
| Credential ID | 148248 |
| Credential Number | CSP.0010856 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Dale Rd Ste 104 Avon CT 06001-3692 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544681 | 1.023674 | Physician/Surgeon | 1982-07-01 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 40 DALE RD STE 104 |
| City | AVON |
| State | CT |
| Zip Code | 06001-3692 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen C Preen | 40 Dale Rd Ste 204, Avon, CT 06001-3692 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Jason E Frankel | 40 Dale Rd Ste 101, Avon, CT 06001-3692 | Chiropractor | 2019-11-01 ~ 2020-10-31 |
| Lalarukh N Mufti Md | 40 Dale Rd Ste 103, Avon, CT 06001-3692 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julio E Pena | 34 Barnett St Apt E1, New Haven, CT 06515-2059 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Iriana Pena Manrique | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2016-08-01 ~ 2017-02-28 |
| Carolina Pena-ricardo | 333 Cedar Street, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2009-05-06 ~ 2011-02-28 |
| Yolanda E Meya Md | 155 Storrs Rd, Mansfield Center, CT 06250 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| 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 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Please comment or provide details below to improve the information on YOLANDA M PENA MD.
| 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).