ERNESTO SIRE DIAZ (Credential# 1687396) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 23, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ERNESTO SIRE DIAZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072307. The credential type is controlled substance registration for practitioner. The effective date is August 23, 2019. The expiration date is February 28, 2021. The business address is 320 Pomfret St, Putnam, CT 06260-1836. The current status is active.
| Licensee Name | ERNESTO SIRE DIAZ |
| Credential ID | 1687396 |
| Credential Number | CSP.0072307 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
320 Pomfret St Putnam CT 06260-1836 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-23 |
| Effective Date | 2019-08-23 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-08-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1641346 | 1.064132 | Physician/Surgeon | 2019-08-20 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 320 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1836 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Day Kimball Hospital | 320 Pomfret St, Putnam, CT 06260-1836 | General Hospital | 2019-10-01 ~ 2021-09-30 |
| Gino C Bottino | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Marc B Cerrone | 320 Pomfret St, Putnam, CT 06260 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Anthony Chieffalo | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ana Mafalda Andrade Tudela Martins | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Amna Aziz | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ronald J Franzino Md | 320 Pomfret St, Putnam, CT 06260 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Day Kimball Hospital | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Susan Brazille | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-12-09 ~ 2021-02-28 |
| James S Peng | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-09-03 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juan M Perez Velazquez | Day Kimball Hospital, Putnam, CT 06260-1836 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Sagar Verma | 320 Pomfret Street, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
| Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
| Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
| Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
| Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
| June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PUTNAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ernesto D Hendler Md | Va Hospital, W Haven, CT 06516 | Controlled Substance Registration for Practitioner | 1993-09-24 ~ 1995-10-01 |
| Ernesto R Soriano | 213 Neptune Dr, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Angel Ernesto Castro | 340 Prayer Spring Rd, Stratford, CT 06614-1322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ernesto R Montesino Md | 33 E Camino Real Apt 923, Boca Raton, FL 33432-6156 | Controlled Substance Registration for Practitioner | 2011-03-14 ~ 2013-02-28 |
| Ernesto Levy Md | 2200 Whitney Ave Suite 320, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2000-06-13 ~ 2001-02-28 |
| Josephine A Diaz | 162 Mountain Rd, Suffield, CT 06078 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roberto Diaz Md | 513 Howellston Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Oliver B Diaz | 46 Goodwin St, Bristol, CT 06010-5807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Orlando Diaz | 179 Middletown Rd, Berlin, CT 06037-3246 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vicente A Diaz | 495 Hawley Ln, Stratford, CT 06614-1514 | 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).