ANN M BALTHAZOR (Credential# 1253515) is licensed (Dietitian/nutritionist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2015. The license expiration date date is August 31, 2016. The license status is INACTIVE.
ANN M BALTHAZOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #59.001290. The credential type is dietitian/nutritionist. The effective date is September 1, 2015. The expiration date is August 31, 2016. The business address is 562 Whitney Ave Apt 1, New Haven, CT 06511-7702. The current status is inactive.
| Licensee Name | ANN M BALTHAZOR |
| Credential ID | 1253515 |
| Credential Number | 59.001290 |
| Credential Type | Dietitian/Nutritionist |
| Business Address |
562 Whitney Ave Apt 1 New Haven CT 06511-7702 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-11-17 |
| Effective Date | 2015-09-01 |
| Expiration Date | 2016-08-31 |
| Refresh Date | 2016-12-04 |
| Street Address | 562 WHITNEY AVE APT 1 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-7702 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Veronica Meawad | 562 Whitney Ave Apt 2f, New Haven, CT 06511-7702 | Resident Physician | 2019-07-17 ~ 2021-06-30 |
| Matthew A Dunn Md | 562 Whitney Ave Apt 1f, New Haven, CT 06511-7702 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
| Matthew Komron Zaringhalam | 562 Whitney Ave Apt 2f, New Haven, CT 06511-7702 | Physician/surgeon | 2020-04-02 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Dietitian/Nutritionist |
| License Type + County | Dietitian/Nutritionist + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcie D Grimard | CT | Dietitian/nutritionist | ~ |
| Lie H Handali | 15 Ronald Ln, Cos Cob, CT 06807-1616 | Dietitian/nutritionist | 2019-09-01 ~ 2020-08-31 |
| Gina M Puorro | 15 Rye St, Ste 305, Portsmouth, NH 03801 | Dietitian/nutritionist | ~ |
| Amy T Wardell | P.o.box 189, Spofford, NH 03462 | Dietitian/nutritionist | 2004-04-26 ~ 2005-04-30 |
| Amy C. Blewitt | 1 Day Dr, Old Saybrook, CT 06475-1007 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Jeannette E Riviere | 10 Old Mamarone Rd Apt 104, CT 10650 | Dietitian/nutritionist | ~ |
| Diana E. Rosa | 20 Coe Rd, Wolcott, CT 06716-2512 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Daniel Torres | 112 Bliss Rd, Longmeadow, MA 01106-1408 | Dietitian/nutritionist | ~ |
| Amy J. Rosenfeld | 43 Trapping Way, Pleasantville, NY 10570-2523 | Dietitian/nutritionist | 2014-11-01 ~ 2015-10-31 |
| Michela Ann Lux | 9 Fleetwood Dr, Plainville, CT 06062-1050 | Dietitian/nutritionist | 2019-08-01 ~ 2020-07-31 |
Please comment or provide details below to improve the information on ANN M BALTHAZOR.
| 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).