ALEXA ANN ILLINGWORTH (Credential# 1372246) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 13, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.
ALEXA ANN ILLINGWORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063813. The credential type is controlled substance registration for practitioner. The effective date is August 13, 2016. The expiration date is February 28, 2017. The business address is 14684 Sunset Dr, Largo, FL 33774-4805. The current status is inactive.
Licensee Name | ALEXA ANN ILLINGWORTH |
Credential ID | 1372246 |
Credential Number | CSP.0063813 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
14684 Sunset Dr Largo FL 33774-4805 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2016-08-13 |
Effective Date | 2016-08-13 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1365610 | 10.134976-TEMP | Registered Nurse - Temporary | 2016-07-11 | 2016-07-11 - 2016-11-07 | INACTIVE |
1363483 | 10.136135 | Registered Nurse | 2016-08-08 | 2016-08-08 - 2016-10-31 | INACTIVE |
1363482 | 12.006641 | Advanced Practice Registered Nurse | 2016-08-08 | 2016-08-08 - 2016-10-31 | INACTIVE |
Street Address | 14684 SUNSET DR |
City | LARGO |
State | FL |
Zip Code | 33774-4805 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lauren Kelley Milburn | 14598 Apache Avenue, Largo, FL 33774 | Registered Nurse - Temporary | 2020-05-11 ~ 2020-09-08 |
Bruce John Bialaski | 14184 Mark Dr, Largo, FL 33774 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-03 ~ 2020-08-31 |
Michele Ciminera | 13203 Whispering Palms Place, Largo, FL 33774 | Optician | 2017-11-01 ~ 2018-10-31 |
Nancy P Bacinello | 13887 Sunset Dr, Largo, FL 33774 | Registered Nurse | 2017-01-01 ~ 2017-12-31 |
Linda N Krodel | 10850 Spring Street, Largo, FL 33774 | Registered Nurse | 2014-12-01 ~ 2015-12-31 |
Cathleen A Wright | 14840 Shipwatch Trace #1925, Largo, FL 33774 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
Catherine L Avery | 10216 Regal Dr #710, Largo, FL 33774 | Registered Nurse | 2015-11-01 ~ 2016-10-31 |
Jean Gauval | 14570-120th Ave No, Largo, FL 33774 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
Charles H Mcclellan IIi | 14267 Sharon Dr, Largo, FL 33774 | Heating, Piping & Cooling Limited Journeyperson | 2011-09-02 ~ 2012-08-31 |
Janet M Kane | 12501 Ulmerton Rd, Largo, FL 33774 | Registered Nurse | 2011-07-01 ~ 2012-06-30 |
Find all Licenses in zip 33774 |
City | LARGO |
Zip Code | 33774 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LARGO |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexa J Swan | 22 Colony Cir, Glastonbury, CT 06033-2605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Alexa B Goldfarb | 37 Fanton Hill Rd, Weston, CT 06883-2407 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Paulina Alexa Kanakos | 108 Kensico St, Staten Island, NY 10306-1806 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Alexa Brett Adams | Chelsea Piers Connecticut, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Alexa Rouse | 3 Glastonbury Place #212, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2018-04-10 ~ 2021-02-28 |
Donald G Illingworth · Don Illingworth&assoc | 2707 Monarch, Arlington, TX 76006 | Professional Engineer | 1990-03-08 ~ 1991-01-31 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Alexa Ramos · Alexa Rose Treats | 22 Terrace Ave, Naugatuck, CT 06770-4029 | Cottage Food Operation | 2020-02-29 ~ 2021-02-28 |
Alexa Venturini · Alexa Venturini Landscape Designer | 20 Everest Hill Rd, Cornwall, CT 06753 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Please comment or provide details below to improve the information on ALEXA ANN ILLINGWORTH.
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).