KATRINA SIVO-SOUZA (Credential# 2044270) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 12, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KATRINA SIVO-SOUZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073976. The credential type is controlled substance registration for practitioner. The effective date is May 12, 2020. The expiration date is February 28, 2021. The business address is 104 Gold Mine Rd, Chepachet, RI 02814-1755. The current status is active.
Licensee Name | KATRINA SIVO-SOUZA |
Credential ID | 2044270 |
Credential Number | CSP.0073976 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
104 Gold Mine Rd Chepachet RI 02814-1755 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-05-12 |
Effective Date | 2020-05-12 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-05-15 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2014803 | 12.008842 | Advanced Practice Registered Nurse | 2020-04-29 | 2020-04-29 - 2021-02-28 | ACTIVE |
2014802 | 10.169416 | Registered Nurse | 2020-03-13 | 2020-03-13 - 2021-02-28 | ACTIVE |
Street Address | 104 GOLD MINE RD |
City | CHEPACHET |
State | RI |
Zip Code | 02814-1755 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tracey A Geoffroy | 138 Gold Mine Rd, Chepachet, RI 02814-1755 | Registered Nurse | 2013-02-14 ~ 2014-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Linda B Taylor | 470 Durfee Hill Road, Chepachet, RI 02814 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Joan Barton | 112 Pulaski Road, Chepachet, RI 02814 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
William M Gilmore II | 49 Teaberry Drive, Chepachet, RI 02814 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Linda M Gervasio | 2142 Putnam Pike, Chepachet, RI 02814 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Kamil Sarji | 1237 Putnam Pike, Chepachet, RI 02814 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Rachel Marie Pierce | 22 Brandon Street, Chepachet, RI 02814 | Casino Class I Employee | 2019-12-18 ~ 2020-10-31 |
Thomas F Harney | 15 Goloskie Rd, Glocester, RI 02814 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Brandi M Magill | 31 Lowes Lane, Glocester, RI 02814 | Registered Nurse | ~ |
Paul J Dunn | 92 First Rd, Chepachet, RI 02814 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
Stacy L Gray | 40 Absalona Hill Rd, Chepachet, RI 02814 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Find all Licenses in zip 02814 |
City | CHEPACHET |
Zip Code | 02814 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHEPACHET |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth A Souza | 33 Maple Dr, Prospect, CT 06712-1061 | Controlled Substance Registration for Practitioner | 2020-06-03 ~ 2021-02-28 |
Flavia De Souza | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Arthur G D'souza | 20 Old Ridgefield Rd, Wilton, CT 06897-3012 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Andrezza M Souza | 360 State St Apt 1506, New Haven, CT 06510-3611 | Controlled Substance Registration for Practitioner | 2013-07-03 ~ 2015-02-28 |
Courtney Lynne Souza | 300 Kensington Ave, New Britain, CT 06051-3916 | Controlled Substance Registration for Practitioner | 2020-01-23 ~ 2021-02-28 |
Rodrigo G Souza | 1429 Park St Apt 422, Hartford, CT 06106-2255 | Controlled Substance Registration for Practitioner | 2011-04-12 ~ 2013-02-28 |
Logan S D'souza | 21 South Rd, 2nd Floor, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Christopher Francis D'souza | 189 Winthrop Dr, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-02-25 ~ 2021-02-28 |
Anthony D'souza | 4 Corporate Dr Suite #100, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Desmond M D'souza | House Staff Office M 136, New Haven, CT 06511 | 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).