JOSE A MORALES-MARIN PA (Credential# 196397) 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.
JOSE A MORALES-MARIN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026678. 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 63 Midland Rd, Coventry, CT 06238-2724. The current status is active.
| Licensee Name | JOSE A MORALES-MARIN PA |
| Credential ID | 196397 |
| Credential Number | CSP.0026678 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
63 Midland Rd Coventry CT 06238-2724 |
| 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 | 2019-01-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742384 | 23.000635 | Physician Assistant | 1997-01-24 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 63 MIDLAND RD |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238-2724 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory A Benoit | 81 Midland Rd, Coventry, CT 06238-2724 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Erin E Bussiere | 73 Midland Rd, Coventry, CT 06238-2724 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
| Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
| Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Find all Licenses in zip 06238 | |||
| City | COVENTRY |
| Zip Code | 06238 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COVENTRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose Rodolfo Oyola Morales | 74 Kennedy Rd, Manchester, CT 06042-2231 | Controlled Substance Registration for Practitioner | 2019-09-03 ~ 2021-02-28 |
| Ethan P Marin Md | 16 Elderslie Ln, Woodbridge, CT 06525-1038 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel R Marin | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Lorraine A. Marin | 5 Myrtle Dr, Great Neck, NY 11021-1922 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Amy E Morales | 24 Woodberry Ct, Wolcott, CT 06716-3315 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ana Aleyda Morales | 130 Peaslee Rd, Bow, NH 03304-4041 | Controlled Substance Registration for Practitioner | 2019-08-19 ~ 2021-02-28 |
| Carlos Morales | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Herman Morales Dds | 60-30 Flushing Ave, Maspeth, NY 11378 | Controlled Substance Registration for Practitioner | 2001-03-26 ~ 2002-02-28 |
| Lilybeth Morales | 28 Jeffrey Dr, Pleasant Valley, NY 12569-5171 | Controlled Substance Registration for Practitioner | 2019-01-30 ~ 2021-02-28 |
| Anabelle Mena Morales | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).