MATTHEW R FERNANDEZ (Credential# 494200) 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.
MATTHEW R FERNANDEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043099. 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 131 Lazy Brook Rd, Monroe, CT 06468-3335. The current status is active.
Licensee Name | MATTHEW R FERNANDEZ |
Credential ID | 494200 |
Credential Number | CSP.0043099 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
131 Lazy Brook Rd Monroe CT 06468-3335 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-02-07 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2018-12-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
743813 | 23.002064 | Physician Assistant | 2008-01-22 | 2020-01-01 - 2020-12-31 | ACTIVE |
879414 | 72.001207 | Paramedic | 1997-11-21 | 2015-01-01 - 2015-12-31 | INACTIVE |
867069 | 70.941291 | Emergency Medical Technician | 1994-05-31 | - 1998-06-30 | INACTIVE |
Street Address | 131 LAZY BROOK RD |
City | MONROE |
State | CT |
Zip Code | 06468-3335 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert Kealey Jr · Birchwood Painting & Remodeling | 155 Lazy Brook Rd, Monroe, CT 06468-3335 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
Kosmatology LLC | 151 Lazy Brook Rd, Monroe, CT 06468-3335 | Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
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 |
---|---|---|---|
Yvette M Fernandez | 836 N Salem Rd, Ridgefield, CT 06877-1723 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicole B Fernandez | 25 Peterborough St Apt 14, Boston, MA 02215-4410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
James Fernandez Dds | 7 West Elm #a4, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 1998-03-30 ~ 1999-02-28 |
Maximo J Fernandez | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
David Fernandez Pa | 86 Florence Rd, Riverside, CT 06878 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Thomas V Fernandez Md | 350 George St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anthony Fernandez Do | 2064 Byron Rd, Merrick, NY 11566 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Gil M Fernandez Md | 4355 S National Ave Apt 1510, Springfield, MO 65810-2666 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Andres Fernandez | 360 State St Apt 2619, New Haven, CT 06510-3627 | Controlled Substance Registration for Practitioner | 2013-07-08 ~ 2015-02-28 |
Joanna R Fernandez Aprn | 366 Harmony St, Bridgeport, CT 06606-3831 | 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).