JOANN G LACERVA-HAHN (Credential# 512481) 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.
JOANN G LACERVA-HAHN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044485. 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 275 Tuttle Rd, Durham, CT 06422-2209. The current status is active.
| Licensee Name | JOANN G LACERVA-HAHN |
| Credential ID | 512481 |
| Credential Number | CSP.0044485 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
275 Tuttle Rd Durham CT 06422-2209 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-08-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743882 | 23.002133 | Physician Assistant | 2008-08-13 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 309488 | PTN.0004855 | PHARMACY TECHNICIAN | 2008-04-01 - 2009-03-31 | INACTIVE |
| Street Address | 275 TUTTLE RD |
| City | DURHAM |
| State | CT |
| Zip Code | 06422-2209 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally L Clark | 263 Tuttle Rd, Durham, CT 06422-2209 | Emergency Medical Technician | 2017-03-08 ~ 2020-07-01 |
| Alan E Clark | 263 Tuttle Rd, Durham, CT 06422-2209 | Emergency Medical Technician | 2017-03-08 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan A Luysterborghs | 208 Blue Hills Road, Durham, CT 06422 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Trinh Tu Tran | 10 Cesca Lane, Durham, CT 06422 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Beseck Mountain Rescue Inc | 68r Middlefield Road, Durham, CT 06422 | Public Charity-exempt From Financial Requirements | 2007-10-15 ~ |
| Mary E Gossart | 35 Maiden Lane, Durham, CT 06422 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Jayshreebahen Bidja · Little Rooster Liquors | 363 Main St, Durham, CT 06422 | Package Store Liquor | 2020-08-09 ~ 2021-08-08 |
| Erica Espinoza | 163 Stage Coach Rd, Durham, CT 06422 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Adrienne Lynn Deschnow | 419 R Johnson Lane, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lynda S Collins · Robison | 649 Wallingford Road, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pierino Peter Cascini | 425 Main Street, Durham, CT 06422 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Leila K Markunas | 250 Skeetclub Road, Durham, CT 06422 | Massage Therapist | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06422 | |||
| City | DURHAM |
| Zip Code | 06422 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + DURHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| In-hei Hahn Md | 300 W 23rd St Apt 15m, New York, NY 10011-2260 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
| Lewis D Hahn | 123 York St Apt 7g, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2013-07-02 ~ 2015-02-28 |
| Samuel Hahn Md | 57 Cambridge Rd, Guilford, CT 06437-1269 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward Hahn, Jr. | 38-58 Victoria Rd, Fair Lawn, NJ 07410-5033 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kelly Moran Hahn | 57 Cambridge Rd, Guilford, CT 06437-1269 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carolyn J Hahn | 55 Old Post Road 2, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eunice Hahn | 123 York Street Apartment 20j, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Marc B Hahn | 1231 North Arch St, Allentown, PA 18104 | Controlled Substance Registration for Practitioner | 1993-09-21 ~ 1995-10-01 |
| Jennifer Hahn Cavage | 98 Greencastle Lane, Williamsville, NY 14221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lora S Hahn-schubert Aprn | 184 Spring St, E Greenwich, RI 02818 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JOANN G LACERVA-HAHN.
| 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).