MERILEE F COSTELLO (Credential# 1992111) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 17, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MERILEE F COSTELLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072912. The credential type is controlled substance registration for practitioner. The effective date is December 17, 2019. The expiration date is February 28, 2021. The business address is 112 Ellington St, Longmeadow, MA 01106-1430. The current status is active.
| Licensee Name | MERILEE F COSTELLO |
| Credential ID | 1992111 |
| Credential Number | CSP.0072912 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
112 Ellington St Longmeadow MA 01106-1430 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-12-17 |
| Effective Date | 2019-12-17 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1368033 | 47.004245 | Veterinarian | 2016-09-01 | 2019-12-09 - 2020-07-31 | ACTIVE |
| 1377321 | CSP.0063960 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-09-03 | 2016-09-03 - 2017-02-28 | INACTIVE |
| Street Address | 112 ELLINGTON ST |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-1430 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grazyna A Vincunas | 48 Ellington St, Longmeadow, MA 01106-1430 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kyle Douglas | 42 Ellington St, Longmeadow, MA 01106-1430 | Controlled Substance Registration for Practitioner | 2019-05-21 ~ 2021-02-28 |
| Francis Cannizzo | 140 Ellington St, Longmeadow, MA 01106-1430 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John A Costello | 457 N Main St Ste 100, Pittston, PA 18640-2185 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy Costello · Giesing | 372 Main St, Deep River, CT 06417-2037 | Controlled Substance Registration for Practitioner | 2018-12-10 ~ 2021-02-28 |
| Darlene E Costello Aprn | 2325 41st St # 1, Astoria, NY 11105-1538 | Controlled Substance Registration for Practitioner | 2009-01-27 ~ 2011-02-28 |
| Philip G Costello | 1917 Whitney Avenue, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ruth M Costello Crna | 99 East River Drive, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Al Costello · Costello's Roofing | 75 Beaver Road, Wethersfield, CT 06109 | Home Improvement Contractor | 1998-12-11 ~ 1999-11-30 |
| Costello Const Co | 123 Costello Rd, Newington, CT 06111 | Demolition Contractor | 1976-10-01 ~ 1977-09-30 |
| Costello Dismantling Co., Inc. | 2 Rocky Gutter St, Middleboro, MA 02346 | Crane Registration | 1993-06-24 ~ 1994-06-23 |
| 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 |
Please comment or provide details below to improve the information on MERILEE F COSTELLO.
| 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).