TARA B ANDERSON (Credential# 1306576) 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.
TARA B ANDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061343. 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 30 Sandlewood Dr, Madison, CT 06443-2257. The current status is active.
| Licensee Name | TARA B ANDERSON |
| Credential ID | 1306576 |
| Credential Number | CSP.0061343 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
30 Sandlewood Dr Madison CT 06443-2257 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-08-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1233369 | 23.003174 | Physician Assistant | 2014-09-02 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 30 SANDLEWOOD DR |
| City | MADISON |
| State | CT |
| Zip Code | 06443-2257 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gayle C Norris | 68 Sandlewood Dr, Madison, CT 06443-2257 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Richard T Powers | 26 Sandlewood Dr, Madison, CT 06443-2257 | Public Service Technician - Telephone | 2008-08-12 ~ 2008-09-30 |
| Jacob Carlson Norris | 68 Sandlewood Dr, Madison, CT 06443-2257 | Registered Nurse | 2019-12-18 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tara M Sexton | 87 Bolton St, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2004-09-08 ~ 2005-02-28 |
| Tara Noonan | 6 Pheasant Ln, Madison, CT 06443-1739 | Controlled Substance Registration for Practitioner | 2018-12-03 ~ 2021-02-28 |
| Tara M Meady | 46 Woodlawn Rd, Monroe, CT 06468-2162 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tara Kerner Do | 39 Sherman Ct, Fairfield, CT 06824-5852 | Controlled Substance Registration for Practitioner | 2019-03-11 ~ 2021-02-28 |
| Tara L Powers | 304 North St, Hebron, CT 06248-1126 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tara P Cotton | 78 Olive St Apt 411, New Haven, CT 06511-6986 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Tara H Whelan | 45 East Ave., Westerly, RI 02891 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tara L Paulose | 123 York St Apt 10l, New Haven, CT 06511-5626 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Tara Brass | 7 Quaker Ctr, Scarsdale, NY 10583-4516 | Controlled Substance Registration for Practitioner | 2015-10-24 ~ 2017-02-28 |
| Tara J Miska | 20 Fatima Dr, Bethany, CT 06524-3214 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on TARA B ANDERSON.
| 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).