JEFFREY PRAVDA (Credential# 158503) 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.
JEFFREY PRAVDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018001. 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 863 North Main Street Ext, Wallingford, CT 06492. The current status is active.
| Licensee Name | JEFFREY PRAVDA |
| Credential ID | 158503 |
| Credential Number | CSP.0018001 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
863 North Main Street Ext Wallingford CT 06492 |
| 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 | 2019-02-04 |
| Street Address | 863 North Main Street Ext |
| City | Wallingford |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aaron S Covey Md | 863 North Main Street Ext, Wallingford, CT 06492 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jon C Driscoll | 863 North Main Street Ext, Wallingford, CT 06492-0580 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | Wallingford |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Wallingford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Factor | Jeffrey M. Factor, Md, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey A Carruth Md | Po Box 264, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-10 ~ 2021-02-28 |
| Jeffrey M Ulis | 660 Mix Ave #1h, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2010-12-08 ~ 2013-02-28 |
| Jeffrey Kleis Dpm | 201 Ann St Ste# 203, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 1997-03-19 ~ 1998-02-28 |
| Jeffrey W Moy | 8 Woodhill Rd, Milford, CT 06461-2368 | Controlled Substance Registration for Practitioner | 2013-09-27 ~ |
| Jeffrey Dempski Do | Po Box 283, Wiscasset, ME 04578-0283 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey T Alwine | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2013-04-10 ~ 2015-02-28 |
| Jeffrey N Masi | New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2011-06-13 ~ 2013-02-28 |
| Jeffrey M Kay | 38 Bonwit Rd, Riverside, CT 06878-1215 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey R Uhl Dds | 75 Limerick Rd, Trumbull, CT 06611-1828 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Please comment or provide details below to improve the information on JEFFREY PRAVDA.
| 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).