JOSEPHINE A DIAZ (Credential# 223824) 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.
JOSEPHINE A DIAZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029060. 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 162 Mountain Rd, Suffield, CT 06078. The current status is active.
| Licensee Name | JOSEPHINE A DIAZ |
| Credential ID | 223824 |
| Credential Number | CSP.0029060 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
162 Mountain Rd Suffield CT 06078 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-01-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742644 | 23.000895 | Physician Assistant | 1999-12-22 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 162 MOUNTAIN RD |
| City | SUFFIELD |
| State | CT |
| Zip Code | 06078 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George Anastasio Md | 162 Mountain Rd, Suffield, CT 06078 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Walter R Kope | 162 Mountain Rd, Suffield, CT 06078 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jun Jiang | 46 Cedar Crest Ln., Suffield, CT 06078 | Perfusionist | 2020-07-01 ~ 2021-06-30 |
| Lynne M Vallides | 600 Thompsonville Road, Suffield, CT 06078 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Francesco M Antelmi | 41 Diane Lane, Suffield, CT 06078 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Young Ran Won | 875 Overhill Dr., Suffield, CT 06078 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Burl R Sindler | 58 Austin Street, Suffield, CT 06078 | Hearing Instrument Specialist | 2020-08-01 ~ 2022-07-31 |
| Nasser M Saleh | 1257 South Street, Suffield, CT 06078 | Real Estate Salesperson | ~ |
| Praxair Inc | Ucar Street, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Babylon LLC | 1221 Harvey Ln, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Suffield Hardware | 63 Mountain Rd, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donald R Ledoux | 675 East St. North, Suffield, CT 06078 | Chiropractor | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06078 | |||
| City | SUFFIELD |
| Zip Code | 06078 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SUFFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Josephine Contrino | 78 Beaver Rd Ste 1a, Wethersfield, CT 06109-2200 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Josephine T Moore | Po Box 2696, Germantown, MD 20875-2696 | Controlled Substance Registration for Practitioner | 2018-04-26 ~ 2019-02-28 |
| Josephine L Wright | 170 Fairchild Rd, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Josephine A Franzese | 162 Danbury Rd, Ridgefield, CT 06877-3234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Josephine Bristol | 135 Route 37 S, Sherman, CT 06784-2202 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Oliver B Diaz | 46 Goodwin St, Bristol, CT 06010-5807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roberto Diaz Md | 513 Howellston Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Orlando Diaz | 179 Middletown Rd, Berlin, CT 06037-3246 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vicente A Diaz | 495 Hawley Ln, Stratford, CT 06614-1514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frank Diaz | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on JOSEPHINE A DIAZ.
| 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).