LETRISA M MILLER (Credential# 1053461) 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.
LETRISA M MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052021. 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 95 Avery St, Manchester, CT 06042-1761. The current status is active.
| Licensee Name | LETRISA M MILLER |
| Credential ID | 1053461 |
| Credential Number | CSP.0052021 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
95 Avery St Manchester CT 06042-1761 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-02-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 772309 | 47.002635 | Veterinarian | 1998-10-02 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 95 AVERY ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-1761 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jian Wu Pa | 32 Miller Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2011-04-11 ~ 2013-02-28 |
| Hyman Miller Md | 8 Anchor Dr, Rye, NY 10580-1002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Robert J Miller Dds | 133 Fifth St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Laurie A Miller Md | 21 Pleasant Dr Ext, Niantic, CT 06357 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Robert J Wasnick | 17 Miller Rd, Darien, CT 06820-3015 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Harold S Miller | 19 St Andrews Dr, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Ashley E Miller Vmd | 475 Bank St, Waterbury, CT 06708-3501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dena L Miller Md | 126 Cottage St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laura Miller | 94 Main St, Newington, CT 06111-1317 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie C Miller | 21 East Ct, Derby, CT 06418-2640 | 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).