WARREN ISAKOW (Credential# 1791659) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 7, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
WARREN ISAKOW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072550. The credential type is controlled substance registration for practitioner. The effective date is October 7, 2019. The expiration date is February 28, 2021. The business address is 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067. The current status is active.
| Licensee Name | WARREN ISAKOW |
| Credential ID | 1791659 |
| Credential Number | CSP.0072550 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Cityplace Dr Ste 570 Saint Louis MO 63141-7067 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-07 |
| Effective Date | 2019-10-07 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-10-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1673729 | 1.064349 | Physician/Surgeon | 2019-10-01 | 2019-10-01 - 2020-10-31 | ACTIVE |
| Street Address | 1 CITYPLACE DR STE 570 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-7067 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracy Lynne Reeder | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Vanessa Kitzis | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Dee Walker Ford | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary Ellen Mcdonough | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Branham | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Brett Nathan Whaley | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timothy Michael Stock | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jason Nguyen | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kara Diane Skrodzki | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Analiza Salvador Petero | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eboni C January | 910 Morrison Ave, St Louis, MO 63141 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Guy Elise Constant De Gent | One Cityplace Dr, Suite 570, Saint Louis, MO 63141 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| William P Mcmahon | 670 Mason Ridge Center Dr #220, St Louis, MO 63141 | Architect | 2020-08-01 ~ 2021-07-31 |
| Debra Kay Scudder | 12917 Gallagher Road, St. Louis, MO 63141 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Go Live Well | 13035 Olive Blvd Ste #210, Saint Louis, MO 63141 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Michael Cummins Cpa PC | Three The Pines Court Ste E, St. Louis, MO 63141 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Michael Cummins Cpa | 3 The Pines Ct Ste E, St. Louis, MO 63141 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Kali Marie Boland | 12750 Hezel Lane, Creve Coeur, MO 63141 | Physical Therapist | 2019-11-04 ~ 2020-10-31 |
| Romona Patrice Green | One Cityplace Drive, Saint Louis, MO 63141 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Isabelle Evelyn Condict | 711 Country Manor Lane, Creve Coeur, MO 63141 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Find all Licenses in zip 63141 | |||
| City | SAINT LOUIS |
| Zip Code | 63141 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SAINT LOUIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexis K Warren | 17 Elm Ct, Windsor, CT 06095-2912 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Warren Sherman Md | 15 Lakeside Rd, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Sophie Chheang | 212 Warren St Apt 2l, New York, NY 10282-0007 | Controlled Substance Registration for Practitioner | 2019-06-17 ~ 2021-02-28 |
| Warren B Silliman Md | 26 Prospect St, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Warren R Steinberg | 225 Main St, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carla W Potter | 139 Warren Ter, Longmeadow, MA 01106-1366 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2017-02-28 |
| Anthony Isedeh | 6 Brady Rd, Warren, NJ 07059-7006 | Controlled Substance Registration for Practitioner | 2020-02-14 ~ 2021-02-28 |
| Michaela K Rotondi | 1 Warren St # 1a, Milford, CT 06460-7364 | Controlled Substance Registration for Practitioner | 2020-05-18 ~ 2021-02-28 |
| Sebastian Ruhs | 79 Warren St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Caitrin M Olson | 18 Warren Dr, Seymour, CT 06483-3614 | 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).