AUGUSTA S ROTH (Credential# 160924) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 10, 1994. The license expiration date date is April 1, 1996. The license status is INACTIVE.
AUGUSTA S ROTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020554. The credential type is controlled substance registration for practitioner. The effective date is March 10, 1994. The expiration date is April 1, 1996. The business address is 320 N Stanley Place, Chandler, AZ 85226. The current status is inactive.
| Licensee Name | AUGUSTA S ROTH |
| Credential ID | 160924 |
| Credential Number | CSP.0020554 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
320 N Stanley Place Chandler AZ 85226 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Effective Date | 1994-03-10 |
| Expiration Date | 1996-04-01 |
| Refresh Date | 2004-04-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550239 | 1.032636 | Physician/Surgeon | 1992-10-09 | 1995-02-06 - 1996-03-31 | INACTIVE |
| Street Address | 320 N STANLEY PLACE |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85226 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tailstorm Health Inc/medivant Healthcare · Medivant Healthcare | 158 S Kyrene Rd, Chandler, AZ 85226 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-06-10 ~ |
| Trinity Capital Inc. | 3075 West Ray Road, Chandler, AZ 85226 | Securities - Exemptions | 2020-01-31 ~ |
| Dorna Rezania | 3210 West Genoa Way, Chandler, AZ 85226 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mary M Brumand | 6933 W Laredo Street, Chandler, AZ 85226 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Daniela Dipomazio | 5714 West Ivanhoe St., Chandler, AZ 85226 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Virginia A Brown | 5613 W Frye Road, Chandler, AZ 85226 | Registered Nurse | 2017-05-01 ~ 2018-04-30 |
| April Elizabeth Cole | 148 South Gillette Court, Chandler, AZ 85226 | Registered Nurse | 2016-11-29 ~ 2017-03-31 |
| Robert C Fischer | 3653 West Folley Street, Chandler, AZ 85226 | Certified Public Accountant Certificate | ~ |
| Janel A Hemmerle | 49 South Poplar Way, Chandler, AZ 85226 | Registered Nurse | 2011-08-01 ~ 2012-07-31 |
| Denise E Harkema | 1070 N. Aspen Drive, Chandler, AZ 85226 | Registered Nurse | 2011-05-01 ~ 2012-04-30 |
| Find all Licenses in zip 85226 | |||
| City | CHANDLER |
| Zip Code | 85226 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHANDLER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy M Roth | 257 New Britain Ave, Unionville, CT 06085-1274 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Ion S Jovin Md | 4309 Augusta Ave, Richmond, VA 23230-3813 | Controlled Substance Registration for Practitioner | 2009-03-13 ~ 2011-02-28 |
| Amanda R Cook | 28 Augusta Dr, Milford, CT 06461-1683 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey N Cousin | 11 Augusta Ct, Purchase, NY 10577-1014 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Toni C Roth | 547 Paxonhallow Rd, Broomell, PA 19008 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Stanley Roth Md | 586 Lake Dr, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Robert I Schrier | 368 Augusta Drive, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 1993-01-11 ~ 1995-02-01 |
| Payal Amin | 28 Augusta National, Glastonbury, CT 06033-1488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert W Kogel Md | 2301 Laurel Ln, Augusta, GA 30904-3137 | Controlled Substance Registration for Practitioner | 2019-11-13 ~ 2021-02-28 |
| Divakar Jammalamadaka | 626 Rhodes Hill Ct, Augusta, GA 30907 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on AUGUSTA S ROTH.
| 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).