SOPHIA Elissa ALTIN (Credential# 1281811) 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.
SOPHIA Elissa ALTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060032. 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 789 Howard Ave, New Haven, CT 06519-1304. The current status is active.
| Licensee Name | SOPHIA Elissa ALTIN |
| Credential ID | 1281811 |
| Credential Number | CSP.0060032 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
789 Howard Ave New Haven CT 06519-1304 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-05-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1273009 | 1.054055 | Physician/Surgeon | 2015-04-22 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 446223 | CSP.0039872 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-19 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 789 HOWARD AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1304 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marabel D Schneider | 789 Howard Ave, New Haven, CT 06519 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Russell Rosenberg | 789 Howard Ave, New Haven, CT 06519-1304 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Arielle Hannah Spellun | 789 Howard Ave, New Haven, CT 06519 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Issahar Ben-dov | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Daniel Kellner | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sounok Sen | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2020-05-21 ~ 2021-02-28 |
| Monica S Philipp | 789 Howard Ave, New Haven, CT 06510-3220 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Ian D. Ferguson | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jennifer Hughes | 789 Howard Ave, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-10-07 ~ 2021-02-28 |
| Daniel Joseph Friedman | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas M Buckley | 789 Howard Ave Fitkin 300, New Haven, CT 06519-1304 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Peter G. Schulam | 789 Howard Ave Fmp 316, New Haven, CT 06519-1304 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Israel Franco | 789 Howard Ave Fmp 308, New Haven, CT 06519-1304 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Dinesh Singh Md | 789 Howard Ave Fitkin 324, New Haven, CT 06519-1304 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sarkis Kiramijyan | 789 Howard Ave, Dana Building, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael Stuart Leapman | 789 Howard Ave Fitkin 300, New Haven, CT 06519-1304 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elissa M Schechter | 16 West Point Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Elissa K Adatya | 41 Woodland Park, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Sophia Kiciuk | 11 Yale Pl, Armonk, NY 10504-2424 | Controlled Substance Registration for Practitioner | 2016-09-03 ~ 2017-02-28 |
| Sophia Dominique Delpe | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-09 ~ 2019-02-28 |
| Sophia Wang | 1 Primrose Ln, East Brunswick, NJ 08816-5512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sophia D Delpe | 400 Blake St Apt 4105, New Haven, CT 06515-4418 | Controlled Substance Registration for Practitioner | 2013-04-12 ~ 2015-02-28 |
| Sophia A Shirley Aprn | 150 Southwood Ter, Southbury, CT 06488-1840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sophia Gee O'donnell Md | 17 Marion Street, East Greenwich, RI 02818 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Taylor Sophia Edwards | 21652 Johnstone Dr, Lake Forest, CA 92630-6560 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
| Sophia D Beason-brown Dds | 2595 Albany Avenue, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-08 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SOPHIA Elissa ALTIN.
| 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).