JULIA GOTTHARDT (Credential# 1598444) 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.
JULIA GOTTHARDT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069490. 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 231 Rocky Mountain Rd, Southbury, CT 06488-2727. The current status is active.
| Licensee Name | JULIA GOTTHARDT |
| Credential ID | 1598444 |
| Credential Number | CSP.0069490 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
231 Rocky Mountain Rd Southbury CT 06488-2727 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1527885 | 23.004205 | Physician Assistant | 2018-08-22 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 231 ROCKY MOUNTAIN RD |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-2727 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Kay Brown | 103 Rocky Mountain Rd, Southbury, CT 06488-2727 | Wholesaler Salesman | 2017-02-01 ~ 2019-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia M. Shi Md | 18 Centerview Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julia W Bentley | 183 Bay Rd, Hadley, MA 01035-9793 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Julia A Ross | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2012-06-25 ~ 2013-02-28 |
| Julia T Bonacum | 760 Mix Avenue #5p, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 1994-03-18 ~ 1995-07-01 |
| Julia M Rosenbloom | 206 Willow St Apt B, New Haven, CT 06511-2531 | Controlled Substance Registration for Practitioner | 2014-02-07 ~ 2015-02-28 |
| Julia Freitag Pa-c | 81 Magnolia Rd, Trumbull, CT 06611-2239 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Julia P Mayne | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | ~ |
| Julia E Muldoon | 324 Cooke St, Plainville, CT 06062-1435 | Controlled Substance Registration for Practitioner | 2020-01-10 ~ 2021-02-28 |
| Julia R Nordgren | 200 Landons Way, Guilford, CT 06437-4363 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Julia E Marrandino | 58 Sunset Ave, Lynbrook, NY 11563-4051 | Controlled Substance Registration for Practitioner | ~ |
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| 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).