TRACEY G DECASTRO (Credential# 1187385) 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.
TRACEY G DECASTRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056215. 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 20 Pawcatuck Ave, Pawcatuck, CT 06379-2433. The current status is inactive.
| Licensee Name | TRACEY G DECASTRO |
| Credential ID | 1187385 |
| Credential Number | CSP.0056215 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 Pawcatuck Ave Pawcatuck CT 06379-2433 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-10-01 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1183627 | 12.005523 | Advanced Practice Registered Nurse | 2013-09-12 | 2016-02-01 - 2017-01-31 | INACTIVE |
| 578420 | 10.074416 | Registered Nurse | 2004-09-14 | 2016-02-01 - 2017-01-31 | INACTIVE |
| Street Address | 20 PAWCATUCK AVE |
| City | PAWCATUCK |
| State | CT |
| Zip Code | 06379-2433 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Molly Bernadette Macdonald | 32 Pawcatuck Ave, Pawcatuck, CT 06379-2433 | Hairdresser/cosmetician | 2018-02-27 ~ 2019-09-30 |
| Georgia H Wostrel | 32 Pawcatuck Ave, Pawcatuck, CT 06379-2433 | Registered Nurse | 2012-04-01 ~ 2013-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinessa Job | 45 Aimee Dr, Pawcatuck, CT 06379 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Rosanne M Giuliano | 25 Davis Avenue, Pawcatuck, CT 06379 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Kathleen Lettich | 15 Canterbury Lane, Stonington, CT 06379 | Behavior Analyst | ~ |
| Deanna L. Boileau-gilman | 37 William Street, Pawcatuck, CT 06379 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Stuart A Lamb | 40 Lester Ave., Pawcatuck, CT 06379 | Optician | 2020-09-01 ~ 2021-08-31 |
| Lisa S Dittman · Boyd | 302 N Anguilla Rd, Pawcatuck, CT 06379 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Naomi Gobeille | 2 North Broad Street, Pawcatuck, CT 06379 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Sherrie L Theroux | 7 Pond View Ct, Pawcatuck, CT 06379 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Robin R Dana | 17 Wilcox Manor, Pawcatuck, CT 06379 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Sharon Marquis | 20 West Enterprise, Pawcatuck, CT 06379 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06379 | |||
| City | PAWCATUCK |
| Zip Code | 06379 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PAWCATUCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracey J Wiles Do | 334 Beach St, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward J Tracey Md | 124 East Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Tracey Brink | 24 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Tracey A. Viola Do | 30 Dunning Rd, Malta, NY 12020-4299 | Controlled Substance Registration for Practitioner | 2011-09-14 ~ 2013-02-28 |
| Tracey M Modeste | 64 Robbins St # 3304, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tracey S Maurer Md | 41 Alpine Drive, Jericho, VT 05465 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Tracey J Jablonski Md | 9 Clear Brook, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward Tracey Md | 124 East Avenue, Norwalk, CT 06855 | Controlled Substance Registration for Practitioner | 1994-10-14 ~ 1996-11-01 |
| Tracey Boss Od | 154 Bronx Avenue, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 1998-07-24 ~ 1999-02-28 |
| Patricia M Tracey | University of Connecticut Health, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on TRACEY G DECASTRO.
| 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).