LUCIEN J PARRILLO MD (Credential# 448923) 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.
LUCIEN J PARRILLO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040517. 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 4908 Willowbrook Circle, Winter Haven, FL 33884. The current status is active.
| Licensee Name | LUCIEN J PARRILLO MD |
| Credential ID | 448923 |
| Credential Number | CSP.0040517 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4908 Willowbrook Circle Winter Haven FL 33884 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-09-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562266 | 1.044684 | Physician/Surgeon | 2006-08-11 | 2019-07-01 - 2020-06-30 | ACTIVE |
| 1490893 | 1.058995-RES | Resident Physician | 2017-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
| 629919 | 10.E61027 | Registered Nurse | 1998-09-25 | 2005-06-23 - 2006-06-30 | INACTIVE |
| 874243 | 71.000247 | Advanced Emergency Medical Technician | 2001-09-24 | 2001-09-24 - 2003-06-30 | INACTIVE |
| 871854 | 70.971175 | Emergency Medical Technician | 1997-08-20 | - 1999-09-30 | INACTIVE |
| 450563 | CSP.0040632 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 4908 Willowbrook Circle |
| City | Winter Haven |
| State | FL |
| Zip Code | 33884 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Michelle Kahnert | 216 Mclean Pointe, Winter Haven, FL 33884 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Joyce E Pemberton | 651 Broadmoor Circle, Winter Haven, FL 33884 | Notary Public Appointment | 2008-04-01 ~ 2013-03-31 |
| Paulene Tsou Jasurek | 405 Coleman Drive, Winter Haven, FL 33884 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| Amanda Rohrbaugh | 365 Sterling Drive, Winter Haven, FL 33884 | Registered Nurse | 2015-04-17 ~ 2016-02-29 |
| Kimberly K Morledge | 162 Sweet Circle Drive, Winter Haven, FL 33884 | Registered Nurse - Temporary | 2011-04-07 ~ 2011-08-05 |
| Edward Lubin Md | 2532 Partridge Drive, Winter Haven, FL 33884 | Physician/surgeon | 2006-08-25 ~ 2007-05-31 |
| Carolyn M Rosenthal · Miller | 4126 Lake Ned, Winter Haven, FL 33884 | Licensed Practical Nurse | 2008-05-09 ~ 2009-06-30 |
| Ann Marie Barnhart | 1 Bridgewater Dr, Winter Haven, FL 33884 | Registered Nurse | 1994-07-05 ~ 1995-07-31 |
| Annelle L Ford | 124 Hampden Road, Winter Haven, FL 33884 | Registered Nurse | 1999-04-08 ~ 2000-05-31 |
| Mary A Henri | 151 Lake Ring Dr, Winter Haven, FL 33884 | Dental Hygienist | 1992-08-26 ~ 1993-07-31 |
| Find all Licenses in zip 33884 | |||
| City | Winter Haven |
| Zip Code | 33884 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Winter Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roderick Lucien Swift | 1 Kennedy Ave Unit 1443, Danbury, CT 06810-5787 | Controlled Substance Registration for Practitioner | 2019-06-03 ~ 2021-02-28 |
| Domaine Lucien Albrecht Cuvee Lucien Albrecht Whit | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1999-05-04 ~ 2002-05-04 |
| Ronald Parrillo | 1430 Cranston St Ste A, Cranston, RI 02920-6711 | Asbestos Contractor | 2020-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Arundati Rao | CT | 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).