ROBERTA L HINES (Credential# 315777) 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.
ROBERTA L HINES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032390. 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 105 Burr St, Fairfield, CT 06824-7106. The current status is active.
| Licensee Name | ROBERTA L HINES |
| Credential ID | 315777 |
| Credential Number | CSP.0032390 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
105 Burr St Fairfield CT 06824-7106 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-06-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544860 | 1.024033 | Physician/Surgeon | 1983-02-22 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 105 BURR ST |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-7106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominick Julian | 155 Burr St, Fairfield, CT 06824-7106 | Plumbing & Piping Limited Contractor | 2017-11-01 ~ 2018-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann H Hines Md | 13 Washington Ave, Danbury, CT 06810-7926 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| William H Hines | 30 Commerce Rd, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles Hines Md | Genesis Physician Ctr, Springfield, MA 01108 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Brian Hines | 292 Long Ridge Rd Ste 202, Stamford, CT 06902-1627 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Scott W Hines | 1629 Godfrey Ln, Virginia Beach, VA 23454-1301 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth K Hines Jr. | 30 Taylor Town Road, South Glastonbury, CT 06073 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Roberta Craciun | 11 Acton St Apt 101, New Britain, CT 06053-2858 | Controlled Substance Registration for Practitioner | 2011-07-25 ~ 2013-02-28 |
| Tamer Barsom | 27 Roberta Ln, Syosset, NY 11791 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Roberta A Wright | 972 West Blvd Fl 1, Hartford, CT 06105-4144 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Roberta Rose Md | 761 Main Avenue, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ROBERTA L HINES.
| 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).