Connecticut License


Jurisdiction: Connecticut
Source: Connecticut Department of Consumer Protection

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER · STATEN ISLAND · Search Result

Licensee Name Office Address Credential Effective / Expiration
Joseph Ryan Ventura Bautista 363 Elvin St, Staten Island, NY 10314-5201 Controlled Substance Registration for Practitioner 2020-06-03 ~ 2021-02-28
Daniel Demesh 21 Phyllis Ct, Staten Island, NY 10309-4313 Controlled Substance Registration for Practitioner 2020-05-21 ~ 2021-02-28
Lauren M Iacono 21 Ballard Ave, Staten Island, NY 10312-2203 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Gurkirat Sandhu 56 Chapin Ave, Staten Island, NY 10304-2903 Controlled Substance Registration for Practitioner 2020-03-12 ~ 2021-02-28
David Wallace 39 Allen Pl, Staten Island, NY 10312-5901 Controlled Substance Registration for Practitioner 2019-06-28 ~ 2021-02-28
Krishna Potluri 355 Bard Ave, Staten Island, NY 10310-1664 Controlled Substance Registration for Practitioner 2019-06-19 ~ 2021-02-28
Esam Alhariri 1361 Clove Rd Fl 1, Staten Island, NY 10301-4342 Controlled Substance Registration for Practitioner 2019-03-25 ~ 2021-02-28
Azuka C Onye 240 Otis Ave, Staten Island, NY 10306-3112 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Danielle T Giammarino 25 Pompey Ave, Staten Island, NY 10312-2050 Controlled Substance Registration for Practitioner 2017-09-12 ~ 2019-02-28
Jessy Paul 794 Klondike Avenue, Staten Island, NY 10314 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Rishabh Sachdev 8 Dewey Ave, Staten Island, NY 10308 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Paulina Alexa Kanakos 108 Kensico St, Staten Island, NY 10306-1806 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Dmitry Volfson 269 Giffords Ln, Staten Island, NY 10308-1647 Controlled Substance Registration for Practitioner 2015-02-27 ~ 2017-02-28
Antonin Reznicek 355 Bard Ave Apt 3n, Staten Island, NY 10310-1664 Controlled Substance Registration for Practitioner 2016-05-18 ~ 2017-02-28
Loni Musi 164 Jewett Ave, Staten Island, NY 10302-1812 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Yelena Khrapko Dds 12 Iroquois St, Staten Island, NY 10305 Controlled Substance Registration for Practitioner 2012-02-10 ~ 2013-02-28
Christine N Breen Pa-c 7 Stebbins Ave, Staten Island, NY 10310-1637 Controlled Substance Registration for Practitioner 2011-03-08 ~ 2013-02-28
Madhavi L Kolla Md 55 Four Corners Road, Staten Island, NY 10304 Controlled Substance Registration for Practitioner 2011-03-17 ~ 2013-02-28
Patricia H Duzon Dds 50 Swan St, Staten Island, NY 10301-3224 Controlled Substance Registration for Practitioner 2009-06-10 ~ 2011-02-28
Jiyon Yun Md 238 Holton Ave, Staten Island, NY 10309-3740 Controlled Substance Registration for Practitioner 2009-09-01 ~ 2011-02-28
Joe G Zein Md 187 Cromwell Ave 1st Flr, Staten Island, NY 10304 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28
Gerard A Betro Md 987 Victory Blvd 2nd Flr, Staten Island, NY 10301 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
Howard E Josefberg 110 Saxon Ave, Staten Island, NY 10314 Controlled Substance Registration for Practitioner 1995-09-27 ~ 1997-02-28
Asaf A Gave Md 101 Anaconda St, Staten Island, NY 10312 Controlled Substance Registration for Practitioner 2004-02-29 ~ 2005-02-28