AMY SARAH WASTERLAIN (Credential# 1630141) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 5, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
AMY SARAH WASTERLAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070214. The credential type is controlled substance registration for practitioner. The effective date is February 5, 2019. The expiration date is February 28, 2021. The business address is 410 Saybrook Rd, Middletown, CT 06457. The current status is active.
Licensee Name | AMY SARAH WASTERLAIN |
Credential ID | 1630141 |
Credential Number | CSP.0070214 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
410 Saybrook Rd Middletown CT 06457 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-02-05 |
Effective Date | 2019-02-05 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1618282 | 1.062336 | Physician/Surgeon | 2019-02-04 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 410 Saybrook Rd |
City | Middletown |
State | CT |
Zip Code | 06457 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Martha Mccrann Pa | 410 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06457 |
City | Middletown |
Zip Code | 06457 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Middletown |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah C Li | 100 Temple St Apt 211, New Haven, CT 06510-2728 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Sarah A Mulukutla | Po Box 426, Harriman, NY 10926-0426 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sarah K Oh Md | 201 E 79th St Apt 11c, New York, NY 10075-0836 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Sarah E Jay | 45 Jesswig Dr, Hamden, CT 06517-2134 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sarah L Curtis | 115 Oak Ter, Durham, CT 06422-1507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sarah M Mackey | 19 Harmund Pl, Wethersfield, CT 06109-1209 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sarah L Tyler | 14 Wychwood Rd, Old Lyme, CT 06371-1839 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gina M Reitmeyer | 11 Sarah Dr, Oxford, CT 06478 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sarah A Weiss | 333 Cedar St., New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sarah F Denniston | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
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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).