LILLIAN RAE HARSTINE (Credential# 1397305) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 11, 2017. The license expiration date date is February 28, 2019. The license status is INACTIVE.
LILLIAN RAE HARSTINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064556. The credential type is controlled substance registration for practitioner. The effective date is January 11, 2017. The expiration date is February 28, 2019. The business address is 216 E Vicksburg St, Broken Arrow, OK 74011-3807. The current status is inactive.
| Licensee Name | LILLIAN RAE HARSTINE |
| Credential ID | 1397305 |
| Credential Number | CSP.0064556 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
216 E Vicksburg St Broken Arrow OK 74011-3807 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - RETIRED |
| Issue Date | 2017-01-11 |
| Effective Date | 2017-01-11 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2018-12-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1392889 | 1.056060 | Physician/Surgeon | 2017-01-10 | 2017-01-10 - 2017-08-31 | INACTIVE |
| Street Address | 216 E VICKSBURG ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74011-3807 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol Hasselman | 6321 South Birch Av, Broken Arrow, OK 74011 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Encore Scientific, LLC | 801 W New Orleans St, Broken Arrow, OK 74011 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2018-12-13 ~ |
| Kevin M Hasselman | 6321 S Birch Ave, Broken Arrow, OK 74011 | Engineer-in-training | 2003-06-10 ~ 2013-06-10 |
| Paul R Hoyt | 6316 S Ash Ave, Broken Arrow, OK 74011 | Fire Protection Unlimited Journeyperson | ~ |
| April L Kubitz | 429 W. San Diego St., Broken Arrow, OK 74011 | Radiographer | 2005-01-21 ~ 2005-11-30 |
| Robert E Olson Jr | 304 East Glendale, Broken Arrow, OK 74011 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Ronald O Crawford | 305 S Jefferson St, Roanoke, VA 74011 | Architect | 1996-08-01 ~ 1997-07-31 |
| Arthur L Shelton | 4312 S Dogwood Ave, Broken Arrow, OK 74011-1524 | Professional Engineer | 2011-02-01 ~ 2012-01-31 |
| Freedom Pharmaceuticals Inc | 801 W New Orleans St, Broken Arrow, OK 74011-1844 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2011-11-09 ~ |
| Christopher A Harwell | 2313 W Ocala St, Broken Arrow, OK 74011-4518 | Professional Engineer | ~ |
| Find all Licenses in zip 74011 | |||
| City | BROKEN ARROW |
| Zip Code | 74011 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROKEN ARROW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie L Riggio Pa-c | 1 Lillian Ter, Darien, CT 06820-5205 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Lillian Wong | 100 York St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-10-05 ~ 2005-02-28 |
| Lillian Ann Whitaker Aprn | 38 Wilford Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Lillian B. Siegel | 34 Chestnut Sq Apt 1, Jamaica Plain, MA 02130-2220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lillian N Falko Aprn | 200 Orchard St Suite #207, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Lillian E Kun | Dept of Graduate Medicine - 6 South, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lillian M Kaminsky | 19b2 Lakeshore Drive, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Lillian Overman Md | 144 Main Street, East Hartford, CT 06118 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| 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 LILLIAN RAE HARSTINE.
| 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).