TRACY CAMPBELL (Credential# 1609793) 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.
TRACY CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069757. 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 1089 Hawthorne Pkwy, Spring Lake, NJ 07762-2370. The current status is active.
| Licensee Name | TRACY CAMPBELL |
| Credential ID | 1609793 |
| Credential Number | CSP.0069757 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1089 Hawthorne Pkwy Spring Lake NJ 07762-2370 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1591585 | 23.004302 | Physician Assistant | 2018-10-19 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 1089 HAWTHORNE PKWY |
| City | SPRING LAKE |
| State | NJ |
| Zip Code | 07762-2370 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn Campbell | 1089 Hawthorne Pkwy, Spring Lake, NJ 07762-2370 | Physical Therapist | 2020-03-16 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christie Colucci | 601 Mercer Ave, Spring Lake, NJ 07762 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| George A Tsairis | 125 Monroe Avenue, Spring Lake, NJ 07762 | Architect | 2017-08-01 ~ 2018-07-31 |
| William J Cronin Jr · Shore Insulation | 6 Worthington Ave, Spring Lake, NJ 07762 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Richard J Vivenzio | 406 Salem Ave, Spring Lake, NJ 07762 | Architect | ~ |
| Marlene J Mahon · Gak Consulting Services Inc | 106 Sussex Ave, Spring Lake, NJ 07762 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
| Jean W Buchanan | 94 Springlake Garden, Spring Lake, NJ 07762 | Real Estate Salesperson | 2002-06-03 ~ 2003-05-31 |
| Eleanor K Gauthier | 109 Monmouth Ave, Spring Lake, NJ 07762 | Registered Nurse | 1994-11-17 ~ 1996-01-31 |
| Mary J St Peter | 5 Hampton Court, Spring Lake Hts, NJ 07762 | Registered Nurse | 2012-02-01 ~ 2013-01-31 |
| Daniel T Mcdonald | 306 Essex Ave, Spring Lake, NJ 07762-1145 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Jenna R Batlas | 315 Pitney Ave, Spring Lake, NJ 07762-1749 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 07762 | |||
| City | SPRING LAKE |
| Zip Code | 07762 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRING LAKE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracy E Kim Md | 178 Linden St Apt #g-4, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Ryan R Campbell | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Tracy L Macintosh | 23 Oxbow Dr, Meriden, CT 06450-6938 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Tracy L Jones | 1 Peaceful Pl, Shelton, CT 06484-3418 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracy M Wright | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2009-10-19 ~ 2011-02-28 |
| Susan B Cleary Dvm | 16 Tracy Cir, Amherst, MA 01002-3235 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Daniel W Tracy IIi | 100 Fanning Ave, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-05-08 ~ 2021-02-28 |
| Tracy Shevell Md | 30 Shelburne Rd, Stamford, CT 06902-3628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracy G Carmellini | 101 No Plains, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Tracy S Wang Md | 109 Church St Apt 401, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on TRACY CAMPBELL.
| 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).