ALEXIA T KOUDELLOU MD (Credential# 458811) 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.
ALEXIA T KOUDELLOU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040978. 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 6 Fieldstone Commons, Tolland, CT 06084. The current status is active.
| Licensee Name | ALEXIA T KOUDELLOU MD |
| Credential ID | 458811 |
| Credential Number | CSP.0040978 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Fieldstone Commons Tolland CT 06084 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-12-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562528 | 1.044946 | Physician/Surgeon | 2006-12-05 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 6 FIELDSTONE COMMONS |
| City | TOLLAND |
| State | CT |
| Zip Code | 06084 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janice M Heldmann-o'connell · Heldmann | 18 Thomas Dr, Tolland, CT 06084 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Barbara Ann Stebbins | 18 Midland Drive, Tolland, CT 06084 | Registered Nurse | ~ |
| Carrie Elizabeth Gill | 63 Hill Top Road, Tolland, CT 06084 | Behavior Analyst | ~ |
| Kollas Apple Orchard | 41 New Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Frederick M Daniels Dds | 12 Goose Lane, Tolland, CT 06084 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Pat's Power Equipment LLC | 401 Merrow Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Keri A Johnson | 224 Buff Cap Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Clifford Vernor Dunn, IIi | 44 Birch Hill Dr., Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Aimee Wendy Johnson | 175 South River Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Peter D Staiger Md | David E. Palozej Eyecare Associates, Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06084 | |||
| City | TOLLAND |
| Zip Code | 06084 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TOLLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexia A Tsakiris Dvm | 1572 S Main St, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| 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 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Soo Y Uh | 738 Wolcott St., Waterbury, CT 06705 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).