DAVID BASAK-SMITH (Credential# 46235) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 9, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DAVID BASAK-SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025179. The credential type is controlled substance registration for practitioner. The effective date is May 9, 2019. The expiration date is February 28, 2021. The business address is Monroe Town & Country Vet Hospital, Monroe, CT 06468. The current status is active.
| Licensee Name | DAVID BASAK-SMITH |
| Credential ID | 46235 |
| Credential Number | CSP.0025179 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Monroe Town & Country Vet Hospital Monroe CT 06468 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-05-09 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-05-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 772192 | 47.002517 | Veterinarian | 1996-12-27 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | MONROE TOWN & COUNTRY VET HOSPITAL |
| City | MONROE |
| State | CT |
| Zip Code | 06468 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liliya Maklyan | 31 Pastors Walk, Monroe, CT 06468 | Esthetician | ~ |
| Marion K Becker | 54 Greenwood Drive, Monroe, CT 06468 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Valerie Matte-zabin | 139 Bart Rd, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Hang T Dang | 150 Main St, Monroe, CT 06468 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Leanne M Grace | 79 Pastors Walk, Monroe, CT 06468 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alicia Marie Walker | 12 Edgewood Road, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Trina Duong | 202f Windgate Cir, Monroe, CT 06468 | Nail Technician | ~ |
| Julie M Boardman | 95 Richards Drive, Monroe, CT 06468 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marilia Curral Giacobbe | 260 Cutlers Farm Road, Monroe, CT 06468 | Notary Public Appointment | 2015-03-01 ~ 2020-02-28 |
| Jane E Allen · Eschweiler | 3 Timber Dr, Monroe, CT 06468 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06468 | |||
| City | MONROE |
| Zip Code | 06468 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MONROE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David J Smith | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David M Smith Dds | 1731 Port Westbourne Pl, Newport Beach, CA 92660-5331 | Controlled Substance Registration for Practitioner | 2013-02-13 ~ 2013-02-28 |
| Kathleen L Smith Md | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Richard N Smith | Po Box 388, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2016-06-16 ~ 2019-02-28 |
| Jay R Smith Md | 85 Seymour St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Francis X O'connor Md | 43 Smith St, Newport, RI 02841-1002 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Alexander B Smith | 9 Highwood, Simsbury, CT 06070-2509 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Thomas J Smith Dds | Rm C1204b, Farmington, CT 06030-2105 | Controlled Substance Registration for Practitioner | 1993-01-08 ~ 1995-02-01 |
| William Smith | 100 Cooper St Apt 2f, New York, NY 10034-2312 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Shaun Smith | 225 Hull St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2008-03-12 ~ 2009-02-28 |
Please comment or provide details below to improve the information on DAVID BASAK-SMITH.
| 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).