CRISTINA Q CARLISLE (Credential# 1612714) 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.
CRISTINA Q CARLISLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069824. 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 3514 Main St, Coventry, CT 06238-1551. The current status is active.
| Licensee Name | CRISTINA Q CARLISLE |
| Credential ID | 1612714 |
| Credential Number | CSP.0069824 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3514 Main St Coventry CT 06238-1551 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-11-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1605975 | 12.007933 | Advanced Practice Registered Nurse | 2018-11-05 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 974278 | 10.097697 | Registered Nurse | 2011-01-10 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 670344 | 11.026510 | Licensed Practical Nurse | 1997-01-24 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 3514 MAIN ST |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238-1551 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cvs Pharmacy #2220 | 3514 Main St, Coventry, CT 06238-1551 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Coventry Donuts Inc · Dunkin Donuts | 3516 Main St, Coventry, CT 06238-1551 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
| Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
| Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Find all Licenses in zip 06238 | |||
| City | COVENTRY |
| Zip Code | 06238 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COVENTRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Komal J Bhatt Md | 718 Carlisle Way, Sunnyvale, CA 94087-3427 | Controlled Substance Registration for Practitioner | 2011-03-17 ~ 2013-02-28 |
| Cristina D Meehan | 18 Hart St, New Britain, CT 06052-1702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cristina Tarango | 123 York St #6j, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Cristina N Dimarte | 735 Brewster St, Bridgeport, CT 06605-2936 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ana Cristina Mercedes | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
| Cristina D Popovici Md | 258 Ridgefield Dr, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2002-04-22 ~ 2003-02-28 |
| Cristina Blot | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-11-21 ~ 2013-02-28 |
| Cristina Gabriel | 78 Kellogg St, Brookfield, CT 06804-1519 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Cristina P Baens | 99 Pond Ave Apt 211d, Brookline, MA 02445-7116 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Cristina Stone | 14 Stonehill Drive, Killingworth, CT 06419 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CRISTINA Q CARLISLE.
| 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).