SHALANDA CROSS (Credential# 1454920) 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.
SHALANDA CROSS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066927. 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 1333 Rainbow Parke Drive, Round Rock, TX 78665. The current status is active.
| Licensee Name | SHALANDA CROSS |
| Credential ID | 1454920 |
| Credential Number | CSP.0066927 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1333 Rainbow Parke Drive Round Rock TX 78665 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-10-06 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1450602 | 12.007289 | Advanced Practice Registered Nurse | 2017-10-05 | 2019-04-01 - 2020-03-31 | ACTIVE |
| 1450600 | 10.145377 | Registered Nurse | 2017-10-02 | 2019-04-01 - 2020-03-31 | ACTIVE |
| Street Address | 1333 RAINBOW PARKE DRIVE |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne K Hoban | 2837 San Milan Pass, Round Rock, TX 78665 | Professional Engineer | 2020-02-12 ~ 2021-01-31 |
| Robert S Castillo | 1000 Chippewa, Round Rock, TX 78665 | Home Improvement Salesperson | 2019-12-12 ~ 2020-11-30 |
| Anthony N Signorello | 1311 Solitaire, Round Rock, TX 78665-1109 | Engineer-in-training | 2012-10-16 ~ 2022-10-16 |
| Leigh Christina Smolen | 901 Hidden Valley Dr, Round Rock, TX 78665-1394 | Registered Nurse | 2016-09-20 ~ 2017-09-30 |
| Vanessa Hunter | 1100 Hidden Valley Dr Apt 6302, Round Rock, TX 78665-1571 | Registered Nurse - Temporary | 2019-12-12 ~ 2020-04-10 |
| Bethany Adaire | 1275 Chad Dr, Round Rock, TX 78665-2038 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Angella Sharp | 8069 Gato Ln, Round Rock, TX 78665-2125 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Phani Babu Daggubati | 3432 De Soto Loop, Round Rock, TX 78665-2130 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Cheryl Rogas | 3132 Pablo Way, Round Rock, TX 78665-2161 | Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Prajakta Argade | 601 Kolbo Dr, Round Rock, TX 78665-2165 | Physical Therapist | 2019-05-01 ~ 2020-04-30 |
| Find all Licenses in zip 78665 | |||
| City | ROUND ROCK |
| Zip Code | 78665 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROUND ROCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin A Cross Md | Po Box 362, Kedrsavge, NH 03847 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Keith P Cross | 925 Mix Ave Apt 1-h, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Alison Joy Leff | 40 Cross St Fl 4, Norwalk, CT 06851-4647 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lloyd P Mcdonald | 112 Cross Rd, Waterford, CT 06385-1204 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard K Stiverson Md | 40 Cross St, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Michael Wieder | 1 Cross St, Gardner, MA 01440-2213 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Colleen C Hickey | 63 Cross Rd, Middlebury, CT 06762-3017 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lisa M Donovan Md | 27 Red Cross Ave, Newport, RI 02840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alice Abraham | 2b Cross Hwy, Westport, CT 06880-2008 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Erez Salik Md | 31 Cross Hwy, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SHALANDA CROSS.
| 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).