STEPHEN J ROBERTS CRNA (Credential# 912363) 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.
STEPHEN J ROBERTS CRNA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047198. 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 178 Scarborough Ln, Middletown, CT 06457-7543. The current status is active.
| Licensee Name | STEPHEN J ROBERTS CRNA |
| Credential ID | 912363 |
| Credential Number | CSP.0047198 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
178 Scarborough Ln Middletown CT 06457-7543 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-02-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 581318 | 10.077316 | Registered Nurse | 2005-12-07 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 912256 | 12.004307 | Advanced Practice Registered Nurse | 2010-01-27 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 906004 | 10.091735-TEMP | Registered Nurse - Temporary | 2009-12-02 | 2009-12-02 - 2010-04-01 | INACTIVE |
| Street Address | 178 SCARBOROUGH LN |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-7543 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Beata Mcauliffe | 178 Scarborough Ln, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacy Sanzone | 198 Scarborough Ln, Middletown, CT 06457-7543 | Registered Nurse | 2018-03-01 ~ 2019-02-28 |
| David E Raymond | 198 Scarborough Ln, Middletown, CT 06457-7543 | Heating, Piping & Cooling Limited Journeyperson | 1987-10-01 ~ 1989-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa L Gulino Crna | 69 Collindale Dr, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maryse Cadet Crna | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2009-02-04 ~ 2011-02-28 |
| Michael Postolowski Crna | 234 Duncaster Rd, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tara R Munroe Crna | 515 Us Highway 89 N, Livingston, MT 59047-9328 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Richard M Libutti Crna | 22 Hawthorne Ave., Rye Brook, NY 10573 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Scott Tarnowsky Crna | 3699 Broadbridge Ave Apt 315, Stratford, CT 06497 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Joanne E Brown Crna | 3 Meadow Lane, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Maryellen Lyman Crna | 170 Windmill Hill, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Ptaszynski Crna | 125 Roundhill Road, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ladonna S Schweer Crna | 340 Swanson Circle, Burnsville, MN 55306 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
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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).