PHYLLIS TAWIAH (Credential# 1306212) 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.
PHYLLIS TAWIAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061336. 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 151 Courtland Ave Apt 2c, Stamford, CT 06902-9104. The current status is active.
| Licensee Name | PHYLLIS TAWIAH |
| Credential ID | 1306212 |
| Credential Number | CSP.0061336 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
151 Courtland Ave Apt 2c Stamford CT 06902-9104 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-01-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1304198 | 1.054878 | Physician/Surgeon | 2016-01-21 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 151 COURTLAND AVE APT 2C |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-9104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael N Tawiah | 151 Courtland Ave Apt 2c, Stamford, CT 06902-9104 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phyllis A Young | 8 Rue De Vin Dr, Marlboro, NY 12542-5953 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phyllis A Liu Od | 264 Amity Rd Ste 212, Woodbridge, CT 06525-2200 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phyllis Lungelow Pa | 53 Fieldstone Rd, Waterbury, CT 06704 | Controlled Substance Registration for Practitioner | 2002-03-05 ~ 2003-02-28 |
| Phyllis Chen Md | 1292 Old Waterbury Rd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Daniel Demesh | 21 Phyllis Ct, Staten Island, NY 10309-4313 | Controlled Substance Registration for Practitioner | 2020-05-21 ~ 2021-02-28 |
| Phyllis E Headley | 23 Eastview Drive, New Fairfield, CT 06812 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phyllis A Syres Dvm | 227 Gurleyville Rd Apt B, Storrs Mansfield, CT 06268-1448 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phyllis G Grable-esposito | 85 Seymour Street, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phyllis K Nyinaku-yeboah | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Phyllis Beveridge Aprn | 6 Lord Brook, Cromwell, CT 06416 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PHYLLIS TAWIAH.
| 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).