STACEY A ROTTA (Credential# 1082358) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
STACEY A ROTTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053125. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 40 Plainfield Ave Unit 3, West Haven, CT 06516-1166. The current status is lapsed.
| Licensee Name | STACEY A ROTTA |
| Credential ID | 1082358 |
| Credential Number | CSP.0053125 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Plainfield Ave Unit 3 West Haven CT 06516-1166 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2012-08-02 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1492035 | 1.059770-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 40 PLAINFIELD AVE UNIT 3 |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-1166 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sheiketha L Ross | 40 Plainfield Ave Unit 12, West Haven, CT 06516-1166 | Licensed Alcohol and Drug Counselor | 2019-12-01 ~ 2020-11-30 |
| Villa Property Associates LLC | 40 Plainfield Ave Unit 10, West Haven, CT 06516-1166 | Community Association Manager | 2013-02-05 ~ 2014-01-31 |
| Melissa C Gouveia | 40 Plainfield Ave Unit 10, West Haven, CT 06516-1166 | Community Association Manager | 2008-06-11 ~ 2009-01-31 |
| Jose A Gouveia | 40 Plainfield Ave Unit 10, West Haven, CT 06516-1166 | Plumbing & Piping Limited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacey B Weldon Md | 26 Tremont St, Cos Cob, CT 06807-2422 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Stacey A Carron Dvm | 691 Mix Ave Apt A1, Hamden, CT 06514-2207 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| William G Chang | 27 Stacey Ln, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey S Cummings | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Stacey Stein Md | 252 Old Oaks Rd, Fairfield, CT 06825-1932 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey A Kasperzak | 495 South Rd, Somers, CT 06071-2210 | Controlled Substance Registration for Practitioner | 2019-03-06 ~ 2021-02-28 |
| Stacey L Spear Pa | 39 S Benson Rd, Fairfield, CT 06824-6213 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Stacey Lombardo | 7 Lawrence Ave, Danbury, CT 06810-5180 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey M Langsam Do | 538 Litchfield St Ste G02, Torrington, CT 06790-6669 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey R Dallas | 60 Nonnewaug Road, Bethlehem, CT 06751 | Controlled Substance Registration for Practitioner | 2019-07-30 ~ 2021-02-28 |
Please comment or provide details below to improve the information on STACEY A ROTTA.
| 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).