BARBARA FAY WILLIS (Credential# 1409706) 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.
BARBARA FAY WILLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064945. 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 119 Forest Grove Road, Homer, LA 71040. The current status is active.
| Licensee Name | BARBARA FAY WILLIS |
| Credential ID | 1409706 |
| Credential Number | CSP.0064945 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
119 Forest Grove Road Homer LA 71040 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-03-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1397755 | 1.056203 | Physician/Surgeon | 2017-02-27 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 119 Forest Grove Road |
| City | Homer |
| State | LA |
| Zip Code | 71040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael T Guy | 241 Merrill Rd, Homer, NY 13077-9745 | Lead Inspector Risk Assessor | 2019-12-01 ~ 2020-11-30 |
| Robert C Thompson | 495 Klondike Ave, Homer, AK 99603-7632 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Nicholas A Renzi | 5359 Fairlane Rd, Homer, NY 13077 | Professional Engineer | 1996-02-01 ~ 1997-01-31 |
| Maurice D Cope | 1144 Long Rd, Homer, NY 13077 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Steven D Brown | 6362 Route 11, Homer, NY 13077 | Plumbing & Piping Limited Journeyperson | ~ |
| David C Brown | 6754 E Homer Balt Rd, Homer, NY 13077 | Plumbing & Piping Limited Journeyperson | ~ |
| Amanda K Scalza | 13 Clinton St Apt B, Homer, NY 13077-1149 | Engineer-in-training | 2012-11-27 ~ 2022-11-27 |
| Melissa A Custer | Box 3003, Homer, AK 99603 | Registered Nurse | ~ 1994-11-30 |
| Amy J Elliott | 1018 Marion Drive, Homer, NY 13077 | Registered Nurse | 2006-04-20 ~ 2006-10-31 |
| Christine S Brubaker | Po Box 61, Homer, AK 99603-0061 | Registered Nurse | 2013-08-01 ~ 2014-07-31 |
| Find all Licenses in Homer | |||
| City | Homer |
| Zip Code | 71040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Homer |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace Kooper Md | 28 Willis Dr, Cumberland, RI 02864-2066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Monica P Zucca | 185 Willis Ave Ste 1, Mineola, NY 11501-2622 | Controlled Substance Registration for Practitioner | 2013-07-15 ~ 2015-02-28 |
| Charla R Willis Md | 35 Cottage St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Jody L Willis | 21 Westridge Rd, Bolton, CT 06043-7516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gabriel A Bonilla | 381 Willis Ave, Hawthorne, NY 10532-1413 | Controlled Substance Registration for Practitioner | 2009-09-10 ~ 2011-02-28 |
| Pe Shein Wynn Md | 254 Willis Avenue, Hawthrone, NY 10532 | Controlled Substance Registration for Practitioner | 1998-01-02 ~ 1999-02-28 |
| Amy Willis | 1415 Ridge Rd, North Haven, CT 06473-3051 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Willis Taylor Williams | 625 Whitney Ave Apt 3, New Haven, CT 06511-2281 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Peter Lyndon Willis | 4 White Tail Cir, Charlestown, RI 02813-2750 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Barbara J. Stefanczyk Dds | 531 Elm St., New Haven, CT 06051 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on BARBARA FAY WILLIS.
| 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).