BLOSSOM REYES VALDA (Credential# 1676513) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 18, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BLOSSOM REYES VALDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071979. The credential type is controlled substance registration for practitioner. The effective date is July 18, 2019. The expiration date is February 28, 2021. The business address is 29 Heartwell Dr, Groton, CT 06340-2873. The current status is active.
| Licensee Name | BLOSSOM REYES VALDA |
| Credential ID | 1676513 |
| Credential Number | CSP.0071979 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
29 Heartwell Dr Groton CT 06340-2873 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-18 |
| Effective Date | 2019-07-18 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 583645 | 10.079643 | Registered Nurse | 2006-08-10 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 1658457 | 12.008281 | Advanced Practice Registered Nurse | 2019-07-01 | 2019-07-01 - 2020-07-31 | ACTIVE |
| Street Address | 29 HEARTWELL DR |
| City | GROTON |
| State | CT |
| Zip Code | 06340-2873 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Darzycki | 9 Heartwell Dr, Groton, CT 06340-2873 | Home Improvement Salesperson | 2018-03-15 ~ 2018-11-30 |
| Brittany A Duclos | 15 Heartwell Dr, Groton, CT 06340-2873 | Emergency Medical Responder | 2019-07-01 ~ 2022-06-30 |
| Alexis Switzer | 15 Heartwell Dr, Groton, CT 06340-2873 | Hairdresser/cosmetician | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John B Levine Md | 55 Blossom St Rm 405, Boston, MA 02114-2602 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Deanna Jc Zimkus | 114 Blossom Way, Southington, CT 06489-1879 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda B Tini | 1220 Blossom St, Suffield, CT 06078-1004 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
| Richard Katz Md | 2 Apple Blossom Ln, Niantic, CT 06357-1942 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Nelson I Reyes | 17 Howe St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Marilou Romero-reyes Md | Po Box 32, Tennent, NJ 07763-0032 | Controlled Substance Registration for Practitioner | 2001-04-05 ~ 2002-02-28 |
| Lilia B Reyes Md | 840 Howard Ave Ste 1, New Haven, CT 06519-1188 | Controlled Substance Registration for Practitioner | ~ |
| Desiree Reyes | 274 Bridgeport Ave Apt D, Milford, CT 06460-4170 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Joy R Reyes | 350 Nutmeg Lane, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Magdalena M Reyes | 300 George St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on BLOSSOM REYES VALDA.
| 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).