MANCHESTER INFUSION CENTER (Credential# 1609792) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 29, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MANCHESTER INFUSION CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069756. The credential type is controlled substance registration for practitioner. The effective date is April 29, 2019. The expiration date is February 28, 2021. The business address is 376 Tolland Tpke Fl 3, Manchester, CT 06042-1746. The current status is active.
| Licensee Name | MANCHESTER INFUSION CENTER |
| Credential ID | 1609792 |
| Credential Number | CSP.0069756 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
376 Tolland Tpke Fl 3 Manchester CT 06042-1746 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-29 |
| Effective Date | 2019-04-29 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-15 |
| Street Address | 376 TOLLAND TPKE FL 3 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-1746 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laxmi Sunoco | 330 Tolland Tpke, Manchester, CT 06042-1746 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
| Sreenivas Atluri · India Kitchen | 394 Tolland Tpke, Manchester, CT 06042-1746 | Restaurant Liquor | 2014-10-20 ~ 2015-10-19 |
| Global Montello Group #116 | 330 Tolland Tpke, Manchester, CT 06042-1746 | Retail Gasoline Dealer | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Avon Infusion Center | 80 Fisher Dr, Avon, CT 06001-3798 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Connecticut Children's Medical Center Infusion Clinic | 10 Birdseye Drive, Farmington, CT 06032 | Controlled Substance Registration for Hospitals | 2019-01-14 ~ 2021-02-28 |
| Leo Charendoff Md | 116 E Center St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Julius F Deiparine Md | 394 W Center St, Manchester, CT 06040-4735 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mallory Iverson | 192 E Center St, Manchester, CT 06040-5210 | Controlled Substance Registration for Practitioner | ~ |
| Lon Manfredi Md | 388 West Center St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Deborah A Downes | 295 E Center St, Manchester, CT 06040-5211 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Kim Dds | 147 E Center Street, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard M Bridburg | 444 Center St, Manchester, CT 06040-3926 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Iiisuk Oh Md | 201 East Center St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 1995-11-08 ~ 1997-02-28 |
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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).