CYNTHIA LEE CARSON PA (Credential# 163761) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
CYNTHIA LEE CARSON PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021240. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 3043 West Canyon Ave, San Diego, CA 92123. The current status is lapsed.
| Licensee Name | CYNTHIA LEE CARSON PA |
| Credential ID | 163761 |
| Credential Number | CSP.0021240 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3043 West Canyon Ave San Diego CA 92123 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 741762 | 23.000013 | Physician Assistant | 1993-06-25 | 2016-11-01 - 2017-10-31 | INACTIVE |
| Street Address | 3043 WEST CANYON AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sleep Data Holdings LLC | 5471 Kearny Villa Rd #200, San Diego, CA 92123 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| John William Cronin | 5471 Kearny Villa Rd, San Diego, CA 92123 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Taryn Bartolucci | 8793 Lightwave Ave, San Diego, CA 92123 | Registered Nurse | 2019-10-16 ~ 2020-06-30 |
| C & E Medical Inc | 3914 Murphy Canon Rd Ste #a-212, San Diego, CA 92123 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-06-07 ~ 2019-06-30 |
| 6:10 Services | 8575 Gibbs Drive, Suite 190, San Diego, CA 92123 | Public Charity | 2008-03-01 ~ 2009-02-28 |
| Irene P Champine | 8501 Neva Ave, San Diego, CA 92123 | Registered Nurse | 2012-04-01 ~ 2013-03-31 |
| Joanne A Tatro | 7777 Nightingale Wy, San Diego, CA 92123 | Registered Nurse | 2011-04-01 ~ 2012-03-31 |
| Shannon Cyranowicz | 9064 Gramercy Dr 56, San Diego, CA 92123 | Hairdresser/cosmetician | 1998-06-18 ~ 1999-06-30 |
| Michele B Sukatski | 7962 Nightingale Way, San Diego, CA 92123 | Hairdresser/cosmetician | 1994-05-13 ~ 1995-02-28 |
| Grace M Tong | 2725 West Canyon Avenue; Apartment #137, San Diego, CA 92123 | Pharmacy Intern | 2000-09-27 ~ 2004-09-30 |
| Find all Licenses in zip 92123 | |||
| City | SAN DIEGO |
| Zip Code | 92123 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SAN DIEGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chetan K Gairola | 603 W 235th St, Carson, CA 90745-5131 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Shaun M Carson | 101 West Elm St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2004-09-09 ~ 2005-02-28 |
| Carson A Wright | 50 Gillette St Apt A4, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Collette M Keise | 38 Carson Way, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert W Storms Aprn | 4 Carson Dr, Fredericksburg, VA 22406-8424 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Catherine Gayle | 302 Carson Terrace, Huntingdon Valley, PA 19006 | Controlled Substance Registration for Practitioner | 2019-05-30 ~ 2021-02-28 |
| Cynthia Nolletti Md | 3 Field Rd, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 1993-09-09 ~ 1995-10-01 |
| Cynthia D Baczewski | 267 N Star Dr, Southington, CT 06489-3850 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cynthia C Roque | 160 Robbins St, Waterbury, CT 06708-2652 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Cynthia L Jenson Md | 434 Main St, Waterville, ME 04901-4118 | Controlled Substance Registration for Practitioner | 2008-03-19 ~ 2009-02-28 |
Please comment or provide details below to improve the information on CYNTHIA LEE CARSON PA.
| 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).