LARISSA ANN HABIB (Credential# 1677194) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 22, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LARISSA ANN HABIB is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072011. The credential type is controlled substance registration for practitioner. The effective date is July 22, 2019. The expiration date is February 28, 2021. The business address is 40 Temple St, New Haven, CT 06510-2718. The current status is active.
| Licensee Name | LARISSA ANN HABIB |
| Credential ID | 1677194 |
| Credential Number | CSP.0072011 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Temple St New Haven CT 06510-2718 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-22 |
| Effective Date | 2019-07-22 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1643961 | 1.063953 | Physician/Surgeon | 2019-07-15 | 2019-07-15 - 2020-07-31 | ACTIVE |
| Street Address | 40 TEMPLE ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-2718 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas M Hanson | 40 Temple St, New Haven, CT 06510 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Daniel Rahul Agarwal | 40 Temple St, New Haven, CT 06510-2718 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mahsa A Sohrab | 40 Temple St, New Haven, CT 06510-2718 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Margaret A Baumbusch Brooks | 40 Temple St, New Haven, CT 06510-2718 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jill Christie Rotruck | 40 Temple St, New Haven, CT 06510-2718 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mary J Minkin | 40 Temple St, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kristen Nwanyanwu | 40 Temple St, New Haven, CT 06510-2718 | Controlled Substance Registration for Practitioner | 2019-08-26 ~ 2021-02-28 |
| Joshua Andrew Farhadian | 40 Temple St, New Haven, CT 06510-2718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Luciano Vito Del Priore | 40 Temple St, New Haven, CT 06510-2718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yale New Haven Ambulatory Division | 40 Temple St, New Haven, CT 06510-2718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Habib Khan | 123 York St, New Haven, CT 06511-5655 | Controlled Substance Registration for Practitioner | 2009-10-07 ~ 2011-02-28 |
| Habib Hamoud | 137-03 168 Street, Jamaica, NY 11434 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ishtiaq A Habib | 7 Old Sherman Tpke Ste 200, Danbury, CT 06810-4174 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah Habib | 34 Lakeshore Dr Unit 27b, Farmington, CT 06032-4215 | Controlled Substance Registration for Practitioner | 2013-03-05 ~ 2015-02-28 |
| Nader N Habib Md | 413 Canoe Brook, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Habib Mujib Khan | 129 York St Apt 7j, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Larissa Dunker Md | 267 Grant St, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2004-09-13 ~ 2005-02-28 |
| Larissa A Tedesco | 10 Wilson Rd, Weston, CT 06883-1012 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Larissa Deats | 14 Waterbury Ave., Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Larissa Nekhlyudov Md | 109 Jacob Road, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
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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).