LISSETTE I CRUZ (Credential# 1231373) 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.
LISSETTE I CRUZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057619. 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 259 Light St, Stratford, CT 06614-5233. The current status is active.
| Licensee Name | LISSETTE I CRUZ |
| Credential ID | 1231373 |
| Credential Number | CSP.0057619 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
259 Light St Stratford CT 06614-5233 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-07-11 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1228735 | 23.003107 | Physician Assistant | 2014-06-25 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1025060 | 70.013980 | Emergency Medical Technician | 2011-07-20 | 2011-07-20 - 2014-03-31 | INACTIVE |
| Street Address | 259 LIGHT ST |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-5233 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas H Desiena | 259 Light St, Stratford, CT 06497 | Notary Public Appointment | 1969-06-27 ~ 1974-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason R Anderson | 307 Light St, Stratford, CT 06614-5233 | Asbestos Abatement Supervisor | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lissette A. Leon Md | 44 Chestnut St, Ardsley, NY 10502-1002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sol Lissette Rodriguez Medina | 349 Riversville Rd, Greenwich, CT 06831-3229 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
| Lissette M Rivas Siracusa | 3 Pell Mell Drive, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roma Cruz | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
| Carlos M. Cruz Chu | 52 Hawley Ave Apt 7, Milford, CT 06460-8100 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Rachael A Cruz | 11 Melissa Way, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Florencia S Cruz Md | 182 Hebberd Ave, Paramus, NJ 07652-4452 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Cruz Sundquist Md | 190 Edgehill Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 1994-02-08 ~ 1996-02-01 |
| Lorinda A Cruz | 2 Park Pl Apt 9d, Hartford, CT 06106-5011 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Christopher M Cruz | 142 Bagley Rd, Southbury, CT 06488-2467 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LISSETTE I CRUZ.
| 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).