GAIL M DRAKE (Credential# 163779) 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.
GAIL M DRAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021243. 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 45 Larkspur Dr, Trumbull, CT 06611-4651. The current status is active.
Licensee Name | GAIL M DRAKE |
Credential ID | 163779 |
Credential Number | CSP.0021243 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
45 Larkspur Dr Trumbull CT 06611-4651 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
741811 | 23.000062 | Physician Assistant | 1993-07-23 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | 45 LARKSPUR DR |
City | TRUMBULL |
State | CT |
Zip Code | 06611-4651 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Donald S Bialecki | 45 Larkspur Dr, Trumbull, CT 06611 | Engineer-in-training | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dominick Anthony Tuason | 23 Larkspur Dr, Trumbull, CT 06611-4651 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Angela Tuason | 23 Larkspur Dr, Trumbull, CT 06611-4651 | Registered Nurse | 2020-01-10 ~ 2020-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Find all Licenses in zip 06611 |
City | TRUMBULL |
Zip Code | 06611 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ellen D Kulaga Md | 22 Drake Lane, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Maura B Drake | 329 Rocky Hill Rd, Woodstock, CT 06281-2828 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Olufunmilayo Aiyegbo Aprn | 217 Drake Ave, New Rochelle, NY 10805 | Controlled Substance Registration for Practitioner | 2000-08-03 ~ 2001-02-28 |
Michelle A Burgess Pa · Maiden Name-drake | 82 North Mountain Road, Sunderland, MA 01375 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
Louisa Drake | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
Gail L Dickinson | 320 Pomfret St, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gail Phillips Lnm | 67 Maple St, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2003-01-24 ~ 2004-02-28 |
Gail M O'brien | 181 Edwards St, New Haven, CT 06511-3734 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Gail M Kerwin | 92 Naugatuck Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gail V Smith | 58 Village Ln, Collinsville, CT 06019-3420 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).