ROBERT BLACK (Credential# 1412149) 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.
ROBERT BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065015. 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 26 Burlington Road, Unionville, CT 06085. The current status is active.
| Licensee Name | ROBERT BLACK |
| Credential ID | 1412149 |
| Credential Number | CSP.0065015 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
26 Burlington Road Unionville CT 06085 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-03-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1402370 | 1.056270 | Physician/Surgeon | 2017-03-13 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Black · G R Black Associates | 1129 Southford Rd, Middlebury, CT 06762-3212 | Home Improvement Contractor | 2014-05-30 ~ 2014-11-30 |
| Robert Black | 86 Old Windsor Road, Bloomfield, CT 06002 | Emergency Medical Responder | ~ 1995-07-01 |
| Street Address | 26 Burlington Road |
| City | Unionville |
| State | CT |
| Zip Code | 06085 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura Black | 26 Burlington Road, Unionville, CT 06085 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Taeshin Kim | 151 Coppermine Rd., United States, CT 06085 | Nail Technician | ~ |
| Fuzzy's Foam LLC · Fuzzy's Foam Insulation | 65 Forest St, Unionville, CT 06085 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Darlene L Redman | 97 A Perry Street, Unionville, CT 06085 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Morgan M Marshall | 540 Plainville Ave, Unionville, CT 06085 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Oxyair Medical LLC | P.o. Box 471, Unionville, CT 06085 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sara R Stevenson | 4 Aztec Trail, Unionville, CT 06085 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Rupalini Rawal-dhingra | 12 Newcastle Place, Unionville, CT 06085 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Julian I D Mashkovich | 424 Plainville Ave, Unionville, CT 06085 | Emergency Medical Technician | ~ |
| Daniel C Boyd | 46 Woodside Dr, Farmington, CT 06085 | Optician | 2020-09-01 ~ 2021-08-31 |
| Stephanie Caminiti Aprn | 16 Mals Way, Unionville, CT 06085 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06085 | |||
| City | Unionville |
| Zip Code | 06085 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Unionville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert V Dawe | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | Controlled Substance Registration for Practitioner | 2020-06-12 ~ 2021-02-28 |
| Robert A Kravecs Jr | 1817 Black Rock Tpk, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert A Stanton Md | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert J Herman | 2397 Black Rock Tpke, Fairfield, CT 06825-3229 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William Harless | 100 Black Rock Lighthouse Road, Black Rock, NS B1X 2A3 | Controlled Substance Registration for Practitioner | 2019-05-07 ~ 2021-02-28 |
| Eleanore K Black | 38 Volunteer Ln Apt 4, Greenwich, CT 06830-5414 | Controlled Substance Registration for Practitioner | 2020-06-04 ~ 2021-02-28 |
| Jonathan D Black | 120 Knollwood Dr, New Haven, CT 06515-2459 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eric W Black | 365 Mather St Apt 197, Hamden, CT 06514-3151 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Donald R Black Md | 3618 Pinetree Ave Sw, Concord, NC 28027-2712 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Deborah Black | 2127 Talmage Dr, Leland, NC 28451-9340 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on ROBERT BLACK.
| 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).