DONNA DIAZ (Credential# 161996) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
DONNA DIAZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022601. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 54 Coram Road, Shelton, CT 06484. The current status is inactive.
| Licensee Name | DONNA DIAZ |
| Credential ID | 161996 |
| Credential Number | CSP.0022601 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
54 Coram Road Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 609750 | 10.E38798 | Registered Nurse | 1976-09-10 | 2015-02-01 - 2016-01-31 | INACTIVE |
| 678210 | 12.000016 | Advanced Practice Registered Nurse | 1990-12-10 | 2015-02-01 - 2016-01-31 | INACTIVE |
| Street Address | 54 Coram Road |
| City | Shelton |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank Diaz | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Vicente A Diaz | 495 Hawley Ln, Stratford, CT 06614-1514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Josephine A Diaz | 162 Mountain Rd, Suffield, CT 06078 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Oliver B Diaz | 46 Goodwin St, Bristol, CT 06010-5807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Orlando Diaz | 179 Middletown Rd, Berlin, CT 06037-3246 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roberto Diaz Md | 513 Howellston Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Namyshaye Perrier-diaz | 125 W 117th St Apt 1, New York, NY 10026-2210 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Monica Diaz | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ashley A Diaz | 12 Alpert Dr, Vernon Rockville, CT 06066-3408 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pablo J Diaz-collado | 111 Park St Apt 8p, New Haven, CT 06511-5457 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).