ALEJANDRO ANDRES BAUTISTA (Credential# 1615475) 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.
ALEJANDRO ANDRES BAUTISTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069884. 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 481 Maple Ave, Cheshire, CT 06410-2166. The current status is active.
| Licensee Name | ALEJANDRO ANDRES BAUTISTA |
| Credential ID | 1615475 |
| Credential Number | CSP.0069884 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
481 Maple Ave Cheshire CT 06410-2166 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-11-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1615266 | 12.007987 | Advanced Practice Registered Nurse | 2018-11-27 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1353412 | 10.134050 | Registered Nurse | 2016-05-24 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1355166 | 10.133978-TEMP | Registered Nurse - Temporary | 2016-05-19 | 2016-05-19 - 2016-09-15 | INACTIVE |
| Street Address | 481 MAPLE AVE |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-2166 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany T Owen | 481 Maple Ave, Cheshire, CT 06410-2166 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leyna Bautista Md | 22 Liberty Ave Apt 2, Somerville, MA 02144 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Erleine F Bautista | 30 Crosby St Apt 410, Danbury, CT 06810-5163 | Controlled Substance Registration for Practitioner | ~ |
| Jennifer P Bautista | 4 Westview Drive, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2010-07-26 ~ 2011-02-28 |
| Joseph Ryan Ventura Bautista | 363 Elvin St, Staten Island, NY 10314-5201 | Controlled Substance Registration for Practitioner | 2020-06-03 ~ 2021-02-28 |
| Alejandro Belistri | 337 N Benson Rd, Fairfield, CT 06824-3946 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alejandro Zamudio | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-09-26 ~ 2021-02-28 |
| Alejandro Escobar | 69 Ivy Lane, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Andres F Moreno | 156 W Main St, Greenville, PA 16125-2443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alejandro Lee Suarez | 20 York St Fl 8, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-05-12 ~ 2019-02-28 |
| Andres Nieto | 190 Mountain Brook Dr, Cheshire, CT 06410-3545 | Controlled Substance Registration for Practitioner | 2019-10-18 ~ 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).