LYNETTE A WHITE PA (Credential# 286607) 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.
LYNETTE A WHITE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031326. 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 579 Bethmour Road, Bethany, CT 06524. The current status is active.
Licensee Name | LYNETTE A WHITE PA |
Credential ID | 286607 |
Credential Number | CSP.0031326 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
579 Bethmour Road Bethany CT 06524 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2001-08-27 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
742789 | 23.001040 | Physician Assistant | 2000-12-01 | 2020-01-01 - 2020-12-31 | ACTIVE |
870860 | 70.970181 | Emergency Medical Technician | 1996-12-01 | 1999-12-20 - 2000-12-31 | INACTIVE |
Street Address | 579 BETHMOUR ROAD |
City | BETHANY |
State | CT |
Zip Code | 06524 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Catherine M Ford · Porto | 78 Tuttle Court, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Erin Mcknight | 24 Timber Ln, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cheryl A Bevvino | 106 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Catherine Geloso | 19 Amadeo Drive, Bethany, CT 06524 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Patricia Burke | 12 Miller Rd, Bethany, CT 06524 | Veterinarian | 2020-09-01 ~ 2021-08-31 |
Complete Excavating Services LLC | 674 Amity Rd, Bethany, CT 06524 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
Brian K Coutermarsh | 32 Emerald Lane, Bethany, CT 06524 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Michelle L Amato | 172 Russell Rd, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Joseph L Colaci | 57 Edwards Road, Bethany, CT 06524 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
Karen C Praskievicz | 85 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06524 |
City | BETHANY |
Zip Code | 06524 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BETHANY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lynette E Baber | 142 Grove St, West Hartford, CT 06110-1842 | Controlled Substance Registration for Practitioner | 2018-10-16 ~ 2019-02-28 |
Lynette Oliver Md | 3205 Isla Verde Ave, Carolina, PR 00979 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Janeen E White | 4 Red Fox Run, Wolcott, CT 06716-2769 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Allen H Hindin Dds | 289 White St, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mia M Wright Md | 210 Westchester Ave, White Plains, NY 10604 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Kavosh Rahimi | 12 White Oak Dr, Danbury, CT 06810-4176 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Thomas M Malloy Md | 226 White St, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Amanda M White | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
David White | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2019-01-28 ~ 2021-02-28 |
Penny J Mcevoy | 233 White Oak Way, Torrington, CT 06790-2584 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).