CARLA JOLENE BECKHAM (Credential# 1602040) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 26, 2018. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CARLA JOLENE BECKHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069569. The credential type is controlled substance registration for practitioner. The effective date is September 26, 2018. The expiration date is February 28, 2021. The business address is 1579 Straits Turnpike, Middlebury, CT 06762-1835. The current status is active.
| Licensee Name | CARLA JOLENE BECKHAM |
| Credential ID | 1602040 |
| Credential Number | CSP.0069569 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1579 Straits Turnpike Middlebury CT 06762-1835 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-26 |
| Effective Date | 2018-09-26 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1592761 | 1.061968 | Physician/Surgeon | 2018-09-26 | 2019-06-01 - 2020-05-31 | ACTIVE |
| Street Address | 1579 STRAITS TURNPIKE |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-1835 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony Kim | 1579 Straits Turnpike, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael J Kaplan, Md | 1579 Straits Turnpike, Middlebury, CT 06762 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Hasnija Hannah Huskic | 1579 Straits Turnpike, Middlebury, CT 06762 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| York P Moy Md | 1579 Straits Turnpike, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristaps Keggi | 1579 Straits Turnpike, Middlebury, CT 06762-1835 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sagar M Phatak Md | 1579 Straits Turnpike, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimball Paris & Gugliotti PC | 1579 Straits Turnpike, Middlebury, CT 06762 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Lenkowski Lonergan & Co LLP | 1579 Straits Turnpike, Middlebury, CT 06762-1835 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Stephen B Siegel Md | 1579 Straits Turnpike, Middlebury, CT 06762 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Danile P Dellaporta | 1579 Straits Turnpike, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| New England Orthotic and Prosthetic Systems LLC | 1579 Straits Tpke Ste 2c, Middlebury, CT 06762-1835 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Hans Emil Knopp | 1579 Straits Tpke, Middlebury, CT 06762-1835 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| John Keggi Md | 1579 Straits Tpke Ste E, Middlebury, CT 06762-1835 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Seasons Hospice & Palliative Care of Connecticut, LLC | 1579 Straits Tpke Ste 1e, Middlebury, CT 06762-1835 | Home Health Care | 2018-10-01 ~ 2021-09-30 |
| Salvatore Santapaola | Lenkowski Lonergan & Co. LLP, Middlebury, CT 06762-1835 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| W Kenneth Miner | 1579 Straits Tpke, Middlebury, CT 06762-1835 | Physician Assistant | 2019-11-01 ~ 2020-10-31 |
| Asif Jillani | 1579 Straits Tpke, Middlebury, CT 06762-1835 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Loel Z Payne | 1579 Straits Tpke Ste E, Middlebury, CT 06762-1835 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | MIDDLEBURY |
| Zip Code | 06762 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLEBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jolene W Henion | 972 Georges Hill Rd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jolene R Martin Aprn | 106 Gardiner St, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carla Ann Paredes | 120 Woodlake Dr, Holland, PA 18966-5403 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carla Casulo Md | 64 Robbins St, Waterbury, CT 06721 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Carla J Christy Md | 152 Templ St Apt 408, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Carla Sawan | 65 Dwight St Apt 76, New Haven, CT 06511-5352 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Carla J Kelly Do | 195 Danbury Rd, Wilton, CT 06897-4075 | Controlled Substance Registration for Practitioner | 2008-05-22 ~ 2009-02-28 |
| Carla Acra | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
| Carla W Potter | 139 Warren Ter, Longmeadow, MA 01106-1366 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2017-02-28 |
| Carla M Mota | 200 Yale St Unit 27a, Waterbury, CT 06704-1565 | Controlled Substance Registration for Practitioner | 2019-10-31 ~ 2021-02-28 |
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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).