SELINA S. PATEL VAIL (Credential# 1390866) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 5, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
SELINA S. PATEL VAIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064397. The credential type is controlled substance registration for practitioner. The effective date is January 5, 2017. The expiration date is February 28, 2019. The business address is 4653 Franklin Park Dr, Sterling Heights, MI 48310-1941. The current status is lapsed.
Licensee Name | SELINA S. PATEL VAIL |
Credential ID | 1390866 |
Credential Number | CSP.0064397 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
4653 Franklin Park Dr Sterling Heights MI 48310-1941 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2017-01-05 |
Effective Date | 2017-01-05 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1389136 | 1.056047 | Physician/Surgeon | 2017-01-04 | 2017-01-04 - 2017-06-30 | INACTIVE |
Street Address | 4653 FRANKLIN PARK DR |
City | STERLING HEIGHTS |
State | MI |
Zip Code | 48310-1941 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steve S Camisi | 40588 Riverbend Dr, Sterling Heights, MI 48310 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Si Yin Geraldine Tan | 5565 17 Mile Road, Sterling Heights, MI 48310 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Carol Ellen Lebioda | 2972 Belcher Drive, Sterling Heights, MI 48310 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Mohamad Hamdi | 40211 Steel Dr, Sterling Heights, MI 48310-1950 | Physician/surgeon | ~ |
Frederick C Navarre | 39152 Durand Ct, Sterling Heights, MI 48310-2403 | Professional Engineer | 2009-02-10 ~ 2010-01-31 |
Jennifer G Abeto | 2036 Hopkins Dr, Sterling Heights, MI 48310-2836 | Registered Nurse - Temporary | 2016-08-04 ~ 2016-12-01 |
Rachelle Krystal Dougherty | 36866 Kyro Ct, Sterling Heights, MI 48310-4658 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah Keilman | 12957 Brierstone Dr, Sterling Heights, MI 48312 | Genetic Counselor | 2020-09-01 ~ 2021-08-31 |
Vincenzo Phillip Julian | 43643 Lakeview Blvd, Sterling Heights, MI 48313-2007 | Controlled Substance Registration for Practitioner | 2020-05-26 ~ 2021-02-28 |
Woods Construction Inc | 6396 Product Dr, Sterling Heights, MI 48312-4568 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Alexander Krzeminski | 44199 Meadowlake Dr, Sterling Heights, MI 48313-1136 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Robert J Bartoy | 41153 Marjoran Dr, Sterling Heights, MI 48314-3930 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
Melissa Dailey | 13265 Highland Circle, Sterling Heights, MI 48312 | Registered Nurse | 2019-01-14 ~ 2019-10-31 |
Lake City Pharmacy LLC | 33389 Van Dyke Ave, Sterling Heights, MI 48312-5926 | Nonresident Pharmacy | 2018-09-01 ~ 2019-08-31 |
Brad S Lukas | 8851 Alwardt Dr, Sterling Heights, MI 48313-4809 | Registered Nurse | 2014-10-22 ~ 2015-10-31 |
Holly M Mccallen | 37219 Ruth Dr, Sterling Heights, MI 48312-1976 | Occupational Therapist | 2013-08-01 ~ 2015-07-31 |
Danara R Dixon | 3243 Cherry Creek Ln, Sterling Heights, MI 48314-1024 | Registered Nurse | 2013-11-29 ~ 2013-12-31 |
Find all Licenses in STERLING HEIGHTS |
City | STERLING HEIGHTS |
Zip Code | 48310 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STERLING HEIGHTS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sally M Vail Dds | 64 Washington St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Padmavatia Patel Md · C/o Southbury Training School | 1461 South Britain Rd, Southbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Krupa B Patel | Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Devang N Patel Md | Apt B-3, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Jay C Patel | 132 Mansfield Ave Ste 200, Willimantic, CT 06226-2027 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Biraj Patel | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-03 ~ 2009-02-28 |
Amisha J Patel | 905 Mix Ave Apt 1b, Hamden, CT 06514-5111 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Niranjan K Patel | 206 Bedford Rd, Chappaqua, NY 10514-2723 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Devang C Patel Dpm | 488 Main Ave, Norwalk, CT 06851-1008 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Vipul A Patel Dds | 320 Boston Ave, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SELINA S. PATEL VAIL.
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).