ADINA CHELOUCHE (Credential# 181004) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ADINA CHELOUCHE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025550. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 103 N Main St, Branford, CT 06405-3034. The current status is active.
| Licensee Name | ADINA CHELOUCHE |
| Credential ID | 181004 |
| Credential Number | CSP.0025550 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
103 N Main St Branford CT 06405-3034 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553467 | 1.035874 | Physician/Surgeon | 1997-03-14 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 103 N MAIN ST |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-3034 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol A Brekus-watson | 103 N Main St, Branford, CT 06405-3034 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Craig Sauer | 103 N Main St, Branford, CT 06405-3066 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ljiljana Plisic Md | 103 N Main St, Branford, CT 06405-3034 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lucy O'connell | 103 N Main St, Branford, CT 06405-3034 | Licensed Nurse Midwife | 2020-06-01 ~ 2021-05-31 |
| Scott Casper | 103 N Main St, Branford, CT 06405-3034 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Anna Lee Tirado | 103 N Main St, Branford, CT 06405-3034 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michelle L Plyler | 103 N Main St, Branford, CT 06405-3034 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Norman A Ravski | 103 N Main St, Branford, CT 06405-3034 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan M Richman | 103 N Main St, Branford, CT 06405-3034 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Inside Outlet | 103 N Main St, Branford, CT 06405-3034 | Sterilization Permit for Bedding & Upholstered Furniture | ~ 1996-04-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adina E Bowe | 105 29th St Se, Charleston, WV 25304-1148 | Controlled Substance Registration for Practitioner | 2013-04-18 ~ 2015-02-28 |
| Adina M Rosenzveig Md | 5520 Park Avenue, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Adina's Pizzeria · Cendi Cazimouski | 213 Davis St, Oakville, CT 06779 | Bakery | 2004-07-01 ~ 2005-06-30 |
| Adina's Pizza | 213 Davis St, Oakville, CT 06779 | Bakery | 2009-07-15 ~ 2010-06-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
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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).