SARA M MICELI (Credential# 1187740) 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.
SARA M MICELI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056233. 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 355 Oak Dr, Watertown, CT 06795-3141. The current status is active.
| Licensee Name | SARA M MICELI |
| Credential ID | 1187740 |
| Credential Number | CSP.0056233 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
355 Oak Dr Watertown CT 06795-3141 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-10-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1183915 | 23.002983 | Physician Assistant | 2013-09-25 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 355 OAK DR |
| City | WATERTOWN |
| State | CT |
| Zip Code | 06795-3141 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Taylor Mia Lundy | 265 Kimberly Ln, Watertown, CT 06795 | Registered Nurse | 2020-06-27 ~ 2020-11-30 |
| Judith A Hill | 23 Malvern Hill Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carol Mancini Dumond | 57 Bryant, Watertown, CT 06795 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Michelle J Stankus | 119 Edge Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Linda Z Terenzo · Grella | 215 Claxton Ave., Watertown, CT 06795 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Egbrid T30 Pr 9358 | 856 Echo Lake Rd, Watertown, CT 06795 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
| Ana L Guaman | 1278 Main Street Ste 4, Watertown, CT 06795 | Nail Technician | ~ |
| Eric A Tymula | 727 Park Rd, Watertown, CT 06795 | Tattoo Technician | 2020-03-01 ~ 2022-02-28 |
| Margaret A Chilson | 259 Litchfield Road, Watertown, CT 06795 | Massage Therapist | 2020-05-01 ~ 2022-04-30 |
| Laura L Rock | 187 Georgetown Drive, Watertown, CT 06795 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Find all Licenses in zip 06795 | |||
| City | WATERTOWN |
| Zip Code | 06795 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph D Miceli | 106 Noroton Ave, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
| Philip A Miceli Md | Naval Ambulatory Care Center, Groton, CT 06349-5600 | Controlled Substance Registration for Practitioner | 2006-03-17 ~ 2007-02-28 |
| Sara J Oak | 44 Orange St #604, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-09-29 ~ 2005-02-28 |
| Sara C Paredes | 835 Mix Ave Apt 306, Hamden, CT 06514-2149 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara H Soshnick | 504 Dawson Ln, Jericho, NY 11753-2556 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sara Perkins | 2 Church St S, New Haven, CT 06519-1712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara R Tabtabai | 285 Grandview Dr, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara W Coles Pa-c | 33 Old Mill Rd, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sara Artus | 40 Prospect St. Apt 1-1e, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Sara Karamloo | 44 Orange St Apt 623, New Haven, CT 06510-3134 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on SARA M MICELI.
| 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).