NUBIA-PAOLA FORERO-MEDINA (Credential# 947929) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
NUBIA-PAOLA FORERO-MEDINA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048501. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 500 Mill St Apt 7, Southington, CT 06489-4740. The current status is inactive.
| Licensee Name | NUBIA-PAOLA FORERO-MEDINA |
| Credential ID | 947929 |
| Credential Number | CSP.0048501 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
500 Mill St Apt 7 Southington CT 06489-4740 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-09-15 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1166631 | 1.052277 | Physician/Surgeon | 2013-07-26 | 2015-12-01 - 2016-11-30 | INACTIVE |
| Street Address | 500 MILL ST APT 7 |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-4740 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Courtney L. Davis | 500 Mill St Apt 4, Southington, CT 06489-4740 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nubia S Forero · Brasitas | 954 E Main St, Stamford, CT 06902-4111 | Restaurant Liquor | 2020-02-07 ~ 2021-06-06 |
| Nubia Forero · Brasitas | 430 Main Ave, Norwalk, CT 06851-7004 | Restaurant Liquor | 2020-03-07 ~ 2021-07-06 |
| Paola C Ayora | 21 Fairfield Ave, Darien, CT 06820-4214 | Controlled Substance Registration for Practitioner | 2019-04-14 ~ 2021-02-28 |
| Paola A Palma Sisto Md | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Isabel Paola Guillen-mendez | 200 Retreat Ave, Hartford, CT 06102-3101 | Controlled Substance Registration for Practitioner | ~ |
| Carlos Medina | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paola Cristina Tabaro | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
| Sol Lissette Rodriguez Medina | 349 Riversville Rd, Greenwich, CT 06831-3229 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
| Bernardo Medina Md | 1185 Main St, Willimantic, CT 06226-2093 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justine M Mrosak | 4516 Medina Lake Dr, Hamel, MN 55340-9375 | 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).