KIRSTIN ANASTASIA APRN (Credential# 409236) 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.
KIRSTIN ANASTASIA APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037722. 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 16 Davenport Ave, Westport, CT 06880-5805. The current status is active.
| Licensee Name | KIRSTIN ANASTASIA APRN |
| Credential ID | 409236 |
| Credential Number | CSP.0037722 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
16 Davenport Ave Westport CT 06880-5805 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-06-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 681408 | 12.003230 | Advanced Practice Registered Nurse | 2005-05-02 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 651469 | 10.R51723 | Registered Nurse | 1995-10-13 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 16 DAVENPORT AVE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-5805 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel J Anastasia | 16 Davenport Ave, Westport, CT 06880 | Electrical Limited Journeyperson | 2005-10-01 ~ 2006-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shelley Berman | 26 Davenport Ave, Westport, CT 06880-5805 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Samuel L Montano | 22 Davenport Ave, Westport, CT 06880-5805 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Michael Spero | 12 Davenport Ave, Westport, CT 06880-5805 | Home Improvement Salesperson | 2017-09-26 ~ 2018-11-30 |
| Jitka Talak | 24 Davenport Ave, Westport, CT 06880-5805 | Massage Therapist | 2015-12-01 ~ 2017-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasia E Okoniewski Aprn | 71 Westwood Road, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-07 ~ 2021-02-28 |
| Kirstin M Pilchard Md | 21 Elm St, New Milford, CT 06776-2915 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kirstin L Haugeto Dvm | 13 Bennetts Bridge Rd, Sandy Hook, CT 06482-1408 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anastasia Zhuk Guc | 30 Stone Dr, Northborough, MA 01532-1126 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| Anastasia Slobodnick | 14 Mid River Run Rd, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-02-27 ~ 2021-02-28 |
| Anastasia Kunac Md | 360 State St Apt 2701, New Haven, CT 06510-3627 | Controlled Substance Registration for Practitioner | 2011-07-18 ~ 2013-02-28 |
| Anastasia Zarakiotis | 4 Dearfield Drive Suite G3, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Ann Burzynski Aprn | Po Box 158, Colchester, VT 05446-0158 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Evelyn J Lai Aprn | 83 Nicoll St, New Haven, CT 06511-2621 | Controlled Substance Registration for Practitioner | 2011-09-02 ~ 2013-02-28 |
Please comment or provide details below to improve the information on KIRSTIN ANASTASIA APRN.
| 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).