ALICIA N DEROBERTIS (Credential# 1408393) 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 INACTIVE.
ALICIA N DEROBERTIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064861. 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 94 Truman St, Norwalk, CT 06850-3553. The current status is inactive.
| Licensee Name | ALICIA N DEROBERTIS |
| Credential ID | 1408393 |
| Credential Number | CSP.0064861 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
94 Truman St Norwalk CT 06850-3553 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2017-03-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1487944 | 1.057548-RES | Resident Physician | 2015-07-01 | 2015-07-01 - 2019-06-30 | INACTIVE |
| 1429640 | 1.056679 | Physician/Surgeon | 2017-07-17 | 2018-04-01 - 2019-03-31 | INACTIVE |
| 1297702 | CSP.0060864 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-07-02 | 2015-07-02 - 2017-02-28 | INACTIVE |
| Street Address | 94 TRUMAN ST |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-3553 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra F Moser | 94 Truman St, Norwalk, CT 06850 | Registered Nurse | 1992-04-24 ~ 1993-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mikhail Petrov | 100 Truman St, Norwalk, CT 06850-3553 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tiffany A Lyons | 92 Truman St, Norwalk, CT 06850-3553 | Hairdresser/cosmetician | 2018-09-01 ~ 2020-08-31 |
| Bhavish Aubeelauck | 100 Truman St, Norwalk, CT 06850-3553 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria L Volpe | 31 Geneva Road, West Norwalk, CT 06850 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rhonda Teel | 96 Stuart Avenue, Norwalk, CT 06850 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Jill Goldberg Aprn | 1 Bonnybrook Road, Norwalk, CT 06850 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Allen D Sanchez | 22 Newfield St, Norwalk, CT 06850 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John B Howell | 16 Forest Hill Road, Norwalk, CT 06850 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ting Chen | Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Vincent Grasso | 21 Rae Lane, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karen G Nicolas | 16 Orange St, Norwalk, CT 06850 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amarely Sanchez | 139 Stuart Ave, Norwalk, CT 06850 | Nail Technician | ~ |
| Lance E Zimmerman | 14 Cliffview Dr, Norwalk, CT 06850 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06850 | |||
| City | NORWALK |
| Zip Code | 06850 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alicia Gittleman | 297 Warpas Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Alicia Agnoli | 48 Trumbull St, New Haven, CT 06510-1036 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Alicia R Guidone | 141 Durham Rd # 15, Madison, CT 06443-2676 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alicia C Potes Pa | 18 Rose Ln Apt 5, Danbury, CT 06811-3758 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Alicia Kerr Md | 761 Main Ave, Norwalk, CT 06851-1080 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alicia J Schade Md | 15 Fawn Run Rd, Salem, CT 06420 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alicia C Sigal Md | 140 Green Rd, Meriden, CT 06450-6612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alicia A Romeo Md | 501 Billingsley Rd, Charlotte, NC 28211 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alicia Murray | 6 Stillman Ln, Pleasantville, NY 10570-3902 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Alicia A Higgins Pa | 59 Gianna Dr, Manchester, CT 06042-1972 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ALICIA N DEROBERTIS.
| 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).