MARLEENA A DIMAGGIO APRN (Credential# 362686) 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.
MARLEENA A DIMAGGIO APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034631. 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 490 Hulls Farm Rd, Southport, CT 06890-1030. The current status is active.
| Licensee Name | MARLEENA A DIMAGGIO APRN |
| Credential ID | 362686 |
| Credential Number | CSP.0034631 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
490 Hulls Farm Rd Southport CT 06890-1030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-03-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 680936 | 12.002758 | Advanced Practice Registered Nurse | 2002-09-18 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 626435 | 10.E57529 | Registered Nurse | 1995-06-23 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 490 HULLS FARM RD |
| City | SOUTHPORT |
| State | CT |
| Zip Code | 06890-1030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | SOUTHPORT |
| Zip Code | 06890 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kelly Ann Sullivan Aprn | 6 Fox Run, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-21 ~ 2021-02-28 |
| Evelyn J Lai Aprn | 83 Nicoll St, New Haven, CT 06511-2621 | Controlled Substance Registration for Practitioner | 2011-09-02 ~ 2013-02-28 |
| Pamela M Gau Aprn | 25 Berndale Dr, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Catherine Elliott Aprn | Po Box 577, Freedom, NH 03836 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Michael H Paulin Aprn | 69 Oak St, Watertown, CT 06795 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Macarthur Aprn | Rr 1 Box 261-a, Brooksville, ME 04617 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Gale Banks Aprn | 39 Elm St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ann C Golymbieski Aprn | 10 Gail Dr, Waterbury, CT 06704 | 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).