MARY L GARIBALDI (Credential# 1677828) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 24, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARY L GARIBALDI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072049. The credential type is controlled substance registration for practitioner. The effective date is July 24, 2019. The expiration date is February 28, 2021. The business address is 36 Marne Ave, Fairfield, CT 06825-1755. The current status is active.
| Licensee Name | MARY L GARIBALDI |
| Credential ID | 1677828 |
| Credential Number | CSP.0072049 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
36 Marne Ave Fairfield CT 06825-1755 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-24 |
| Effective Date | 2019-07-24 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1659343 | 1.064005 | Physician/Surgeon | 2019-07-23 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 36 MARNE AVE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-1755 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert P Henry | 36 Marne Ave, Fairfield, CT 06430 | Notary Public Appointment | 1983-04-01 ~ 1988-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer C Ayers | 44 Marne Ave, Fairfield, CT 06825-1755 | Emergency Medical Technician | 2017-11-28 ~ 2021-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard M Garibaldi | 109 Olympus Way, Jupiter, FL 33477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen L Garibaldi Md | 31 Oxford Street, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Charlotte R Brown Md | 11 Garibaldi Lane, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Richard A Garibaldi Md | Uconn Health Ctr, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Deanne N Nakamoto | 10225 Ne Garibaldi Loop, Bainbridge Island, WA 98110-3976 | Controlled Substance Registration for Practitioner | 2009-05-14 ~ 2011-02-28 |
| Mary B O'malley | Po Box 447, Housatonic, MA 01236-0447 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Mary J O | 109 E Gate Ln, Hamden, CT 06514-2233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary G Boy | 237 Clift St, Mystic, CT 06355-1726 | Controlled Substance Registration for Practitioner | 2018-12-20 ~ 2021-02-28 |
| Mary Craig Dvm | 23 Maltbie Ave, Stamford, CT 06902-1134 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary E Bycholski | 29 Redbud Ln, Glastonbury, CT 06033-1222 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARY L GARIBALDI.
| 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).