TRISHA BLAKE (Credential# 1401647) 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.
TRISHA BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064737. 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 2 Park Pl, Hartford, CT 06106-5007. The current status is active.
| Licensee Name | TRISHA BLAKE |
| Credential ID | 1401647 |
| Credential Number | CSP.0064737 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2 Park Pl Hartford CT 06106-5007 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-02-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1398027 | 23.003772 | Physician Assistant | 2017-02-02 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 2 PARK PL |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-5007 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Elizabeth Kuntz | 2 Park Pl, Hartford, CT 06106 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Xuan Wang | 2 Park Pl, Hartford, CT 06106-5007 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Celso F Bu-leiva | 2 Park Pl, Hartford, CT 06106-5007 | Lead Abatement Worker | 2019-12-01 ~ 2020-11-30 |
| Paola A Sandoval | 2 Park Pl, Hartford, CT 06106-5007 | Pharmacy Intern | 2015-08-20 ~ 2018-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harsh V Parmar | 2 Park Pl # A14g, Hartford, CT 06106-5007 | Controlled Substance Registration for Practitioner | 2019-02-14 ~ 2021-02-28 |
| Mary E Mulrooney | 2 Park Pl Apt A23h, Hartford, CT 06106-5007 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Crystal Y Harrington | 2 Park Pl Apt A7h, Hartford, CT 06106-5007 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Whitney P Trompeter | 2 Park Pl Apt 12, Hartford, CT 06106-5007 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| P S Builders Inc | 2 Park Pl Apt 2514, Hartford, CT 06106-5007 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| Raquel S Salazar | 2 Park Pl # 15c, Hartford, CT 06106-5007 | Registered Nurse | 2010-12-01 ~ 2011-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Trisha Kowalski | 249 Broadway, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Trisha L Rogers | 119 Holyoke St, Easthampton, MA 01027-2456 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Trisha Pesce | 71 Haynes Street, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Trisha Maloney | 25 Timberline Drive, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Trisha K Kiliany Aprn | 4810 Pt Fosdick Drive Nw, Gig Harbor, WA 98335 | Controlled Substance Registration for Practitioner | 2013-12-29 ~ 2015-02-28 |
| Huong T Do | 323 Blake St Apt 64, New Haven, CT 06515-1260 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer Sueyun Roh | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Frederick T Conlin | 400 Blake St, New Haven, CT 06515-4409 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Daedly Potusek | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-14 ~ 2021-02-28 |
| Jennifer L Salluzzo | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).