ALEXANDRA VILLALBA (Credential# 1801014) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 24, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ALEXANDRA VILLALBA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072670. The credential type is controlled substance registration for practitioner. The effective date is October 24, 2019. The expiration date is February 28, 2021. The business address is 772 East Broadway, Milford, CT 06460. The current status is active.
| Licensee Name | ALEXANDRA VILLALBA |
| Credential ID | 1801014 |
| Credential Number | CSP.0072670 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
772 East Broadway Milford CT 06460 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-24 |
| Effective Date | 2019-10-24 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-10-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1788506 | 23.004674 | Physician Assistant | 2019-10-23 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 772 East Broadway |
| City | Milford |
| State | CT |
| Zip Code | 06460 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael R Simard | 772 East Broadway, Milford, CT 06460 | Home Improvement Contractor | 2007-12-01 ~ 2008-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | Milford |
| Zip Code | 06460 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Milford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexandra Galante | 24 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-05-09 ~ 2021-02-28 |
| Alexandra E Zacchera | 130 Hartford Rd, Manchester, CT 06040-5921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra R Vitale | 15 Riverside Ave, Bristol, CT 06010-5161 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra Terskiy | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Alexandra Dow Md | 700 White Plains Rd Ste 270, Scarsdale, NY 10583-5013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra Kushnir Md | 247 West St, Morris, CT 06763 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra Smith | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2010-08-25 ~ 2011-02-28 |
| Alexandra None Byrne Dmd | 5 Eversley Ave, Norwalk, CT 06851-5821 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra A Greene | 178 Linden St Apt G5, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Alexandra Zavin | 539 E 78th St #6i, New York, NY 10075 | 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).