ALEXANDRA E ZACCHERA (Credential# 1352847) 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.
ALEXANDRA E ZACCHERA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062709. 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 130 Hartford Rd, Manchester, CT 06040-5921. The current status is active.
| Licensee Name | ALEXANDRA E ZACCHERA |
| Credential ID | 1352847 |
| Credential Number | CSP.0062709 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
130 Hartford Rd Manchester CT 06040-5921 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-05-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1531480 | 1.061996 | Physician/Surgeon | 2018-10-01 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1489417 | 1.058623-RES | Resident Physician | 2016-07-01 | 2016-07-01 - 2019-06-30 | INACTIVE |
| 849352 | 70.009619 | Emergency Medical Technician | 2008-06-13 | 2013-08-15 - 2016-03-31 | INACTIVE |
| Street Address | 130 HARTFORD RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5921 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Austin Bass | 130 Hartford Rd, Manchester, CT 06040-5921 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Bliss Yoon | 130 Hartford Rd, Manchester, CT 06040-5921 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Sabesan Karuppiah | 130 Hartford Rd, Manchester, CT 06040-5921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Omobola Onikoyi | 130 Hartford Rd, Manchester, CT 06040-5921 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
| Victor E Korang Md | 130 Hartford Rd, Manchester, CT 06040 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Kaiser Permanente | 130 Hartford Rd, Manchester, CT 06040-5921 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| New Hope Manor Inc | 48 Hartford Rd, Manchester, CT 06040-5921 | Public Charity | 2011-12-01 ~ 2013-05-31 |
| Fuss & O'neill Inc | 146 Hartford Rd, Manchester, CT 06040-5921 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexandra Gallina | 35 Verbena Dr, Commack, NY 11725-3716 | Controlled Substance Registration for Practitioner | 2019-08-26 ~ 2021-02-28 |
| Alexandra Terskiy | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Alexandra Zavin | 539 E 78th St #6i, New York, NY 10075 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra None Byrne Dmd | 5 Eversley Ave, Norwalk, CT 06851-5821 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra Dow Md | 700 White Plains Rd Ste 270, Scarsdale, NY 10583-5013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra B Kuvaldina | 730 Randolph Rd, Middletown, CT 06457-5331 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| Alexandra A Greene | 178 Linden St Apt G5, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Alexandra V Yamshelikov | 790 Orange St 2nd Fl, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Alexandra B Villard | 22 Windermere Ln, Stamford, CT 06902-1010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra Hawkins | 541 E 20th St Apt 10d, New York, NY 10010-7614 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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| 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).