AMY SARAH WASTERLAIN
Controlled Substance Registration for Practitioner


Address: 410 Saybrook Rd, Middletown, CT 06457

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
1618282 1.062336 Physician/Surgeon 2019-02-04 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 410 Saybrook Rd
City Middletown
State CT
Zip Code 06457

Licenses in the same location

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

Licenses in the same zip code

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
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Competitor

Search similar business entities

City Middletown
Zip Code 06457
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Middletown

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Dataset Information

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).

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