ANNA FISKIN (Credential# 1033437) 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.
ANNA FISKIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051402. 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 111 Park St Apt 9t, New Haven, CT 06511-5459. The current status is inactive.
| Licensee Name | ANNA FISKIN |
| Credential ID | 1033437 |
| Credential Number | CSP.0051402 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
111 Park St Apt 9t New Haven CT 06511-5459 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-09-19 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1160968 | 1.052180 | Physician/Surgeon | 2013-06-28 | 2014-07-01 - 2015-06-30 | INACTIVE |
| Street Address | 111 PARK ST APT 9T |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5459 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine Jansch | 111 Park St Apt 9l, New Haven, CT 06511-5459 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jocelyn Carrie Knazik Phelps | 111 Park St Apt 9p, New Haven, CT 06511-5459 | Genetic Counselor | 2020-04-01 ~ 2021-03-31 |
| Clifford O Aguele | 111 Park St Apt 9m, New Haven, CT 06511-5459 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michael B Russell | 111 Park St Apt 9r, New Haven, CT 06511-5459 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Alexander Weiss | 111 Park St Apt 10a, New Haven, CT 06511-5459 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Daniel Villaveces | 111 Park St Apt 10a, New Haven, CT 06511-5459 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anna M Brock | Po Box 793, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna M Chisilenco | 67 Cherry St Ste C2, Milford, CT 06460-8904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna Sharovetskaya | 130 Division St, Derby, CT 06418-1326 | Controlled Substance Registration for Practitioner | 2015-07-15 ~ 2017-02-28 |
| Anna Manzotti | 263 Farmington Ave, Hartford, CT 06105-3440 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Anna C Mai Od | 50 Holy Family Rd Apt 317, Holyoke, MA 01040-2782 | Controlled Substance Registration for Practitioner | 2011-05-04 ~ 2013-02-28 |
| Anna L Stevens | 177 Seneca Dr, Groton, CT 06340-5644 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna Zak Dds | 1600 S East Rd, Farmington, CT 06032-2610 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Anna M Fleischman | 117 Durkee Rd, Somers, CT 06071-1537 | Controlled Substance Registration for Practitioner | 2020-05-15 ~ 2021-02-28 |
| Anna Gabrielian | 111 Osborne St, Danbury, CT 06810-6000 | Controlled Substance Registration for Practitioner | 2013-08-19 ~ 2015-02-28 |
| Anna Ravin Dds | 155 Main St, Manchester, CT 06042-3126 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANNA FISKIN.
| 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).