SHIRLEY C AUSTIN (Credential# 1464093) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 4, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
SHIRLEY C AUSTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067177. The credential type is controlled substance registration for practitioner. The effective date is December 4, 2017. The expiration date is February 28, 2019. The business address is 707 Orange Ave Unit 3c, Coronado, CA 92118-2242. The current status is lapsed.
| Licensee Name | SHIRLEY C AUSTIN |
| Credential ID | 1464093 |
| Credential Number | CSP.0067177 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
707 Orange Ave Unit 3c Coronado CA 92118-2242 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2017-12-04 |
| Effective Date | 2017-12-04 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1459757 | 2.011937 | Dentist | 2017-11-30 | 2017-11-30 - 2018-09-30 | INACTIVE |
| Street Address | 707 ORANGE AVE UNIT 3C |
| City | CORONADO |
| State | CA |
| Zip Code | 92118-2242 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura N Petrovich | 1224 10th Street, Coronado, CA 92118 | Controlled Substance Registration for Practitioner | 2019-11-08 ~ 2021-02-28 |
| Roozbeh Badii | 449 B Ave, Coronado, CA 92118 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Joseph P Commette Jr | 249 H. Avenue, Coronado, CA 92118 | Dentist | 1998-02-19 ~ 1999-04-30 |
| Kristine M Ver Weire | 846 A. Avenue, Coronado, CA 92118 | Dental Hygienist | 1996-09-23 ~ 1997-09-30 |
| Margaret Moore | 750 Alameda Blvd, Coronado, CA 92118 | Registered Nurse | 1998-01-09 ~ 1999-03-31 |
| Andrew J Aguilar | 1316 Glorietta Blvd, Coronado, CA 92118 | Engineer-in-training | 1996-11-12 ~ 2006-11-12 |
| Robert A Braun Md | 601 Coronado Ave, Coronado, CA 92118 | Controlled Substance Registration for Practitioner | 2002-08-19 ~ 2003-02-28 |
| Coronado Brewing Company | 170 Orange Ave, Coronado, CA 92118-1409 | Out of State Shipper Beer | 2016-09-20 ~ 2017-09-10 |
| Bryn Joy Hogan | 1213 1st St # 112, Coronado, CA 92118-1414 | Registered Nurse | 2010-06-29 ~ 2010-10-31 |
| Kaitlyn E Albert | 536 B Ave Unit 4, Coronado, CA 92118-1821 | Registered Nurse | 2012-08-01 ~ 2013-07-31 |
| Find all Licenses in zip 92118 | |||
| City | CORONADO |
| Zip Code | 92118 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CORONADO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shirley Wu | 80 Seymour St, Hartford, CT 06106-3315 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nancy E Austin | Po Box 926, Putnam, CT 06260-0926 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shirley Jankelevich Md | 74 Midwood Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1994-01-07 ~ 1995-12-01 |
| Shirley Hanna | 107 Old Towne Rd, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Shirley A Mendes | 24 Fawn Run, Salem, CT 06420-3900 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally Austin-fitzpatrick Od | Po Box 361, New Hartford, CT 06057-0361 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicolas P Forget Md | 31 Austin St#5b, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Rebecca D Austin | 4 Riverview Rd, Killingworth, CT 06419-2239 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Austin A Robinson | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-20 ~ 2017-02-28 |
| Shirley A Huang Md | 661 Buchanan Blvd, Red Bank, NJ 07701-5357 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on SHIRLEY C AUSTIN.
| 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).