ANDREA CALDERON ODEWALD PA (Credential# 277024) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.
ANDREA CALDERON ODEWALD PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030765. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is Psc 482 Box 2946, Fpo Ap, 96362. The current status is inactive.
| Licensee Name | ANDREA CALDERON ODEWALD PA |
| Credential ID | 277024 |
| Credential Number | CSP.0030765 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Psc 482 Box 2946 Fpo Ap 96362 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-10-12 |
| Effective Date | 2007-03-01 |
| Expiration Date | 2008-02-29 |
| Refresh Date | 2009-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 742817 | 23.001068 | Physician Assistant | 2001-03-26 | 2006-09-26 - 2007-10-31 | INACTIVE |
| Street Address | PSC 482 BOX 2946 |
| City | FPO AP |
| Zip Code | 96362 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ian E Gregorio | Psc 482 Box 53, Fpo Ap, 96362 | Pharmacy Technician | 2001-04-04 ~ 2002-03-31 |
| Elizabeth S Messer | Psc 482 Box 198, Fpo, 96362 | Licensed Clinical Social Worker | 2002-02-22 ~ 2003-02-28 |
| Paula D James | Us Naval Hospital, Fpo Ap, 96362 | Registered Nurse | 2000-04-20 ~ 2001-05-31 |
| John Anthony Hoyos | Psc 482 Box 192, Fpo, AP 96362-0002 | Registered Nurse - Temporary | 2020-02-07 ~ 2020-06-06 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John W Hutchins | Adak Psc 486, Fpo Ap, 96506-1211 | Registered Nurse | 1992-12-22 ~ 1993-10-31 |
| Jeannine Corriveau | Psc 561 Box 412, Fpo Ap, 96310-0412 | Hairdresser/cosmetician | 1999-05-20 ~ 2000-07-31 |
| Roseanne Mary Campbell | Psc 559 Box 5345, Fpo Ap, 96377 | Registered Nurse | 1979-09-21 ~ 1980-08-31 |
| Ramona T Aganon | Psc 559 Box 5688, Fpo Ap, 96377 | Licensed Practical Nurse | 1994-01-10 ~ 1994-12-31 |
| James D Douglass IIi | Psc 559 Box 6401, Fpo Ap, 63776401 | Dentist | 1997-07-15 ~ 1998-06-30 |
| Lisa M Joseph | Psc 561 Box 1105, Fpo Ap, 96310 | Dental Hygienist | 1993-12-15 ~ 1994-12-31 |
| Richard C Good | Usnh Yokosuka Ja, Fpo Ap, 96350-1559 | Physician/surgeon | 1997-12-17 ~ 1998-12-31 |
| City | FPO AP |
| Zip Code | 96362 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FPO AP |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose Calderon Md | 401 Copse Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Juan S Calderon Md | Po Box 208029, New Haven, CT 06520-8029 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Wilton C Calderon | 80 Rogers Lake Trl, Old Lyme, CT 06371-1261 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Yvette Calderon Md | 420 East 23rd St, New York, NY 10010 | Controlled Substance Registration for Practitioner | 2001-03-12 ~ 2002-02-28 |
| Andrea Radebold | 960 Main St, Branford, CT 06405-3730 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea Katz | 750 Quinnipiac Ave Apt 4, New Haven, CT 06513-3367 | Controlled Substance Registration for Practitioner | 2011-01-14 ~ 2013-02-28 |
| Andrea L Looney | 67 Munson Rd, Chesterfield, MA 01012-9712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea Woods | 112 Mansfield Ave, Willimantic, CT 06226-2045 | Controlled Substance Registration for Practitioner | 2020-06-12 ~ 2021-02-28 |
| Andrea Stewart | 202 Mirra Dr, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea L Gillis | 162 Britiani Rd, Southbury, CT 06488-4651 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANDREA CALDERON ODEWALD PA.
| 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).