ALAN D SCHUPACK DDS (Credential# 147857) 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.
ALAN D SCHUPACK DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013254. 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 850 North Main St Ext, Wallingford, CT 06492. The current status is active.
| Licensee Name | ALAN D SCHUPACK DDS |
| Credential ID | 147857 |
| Credential Number | CSP.0013254 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
850 North Main St Ext Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-02-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 701610 | 2.006675 | Dentist | 1985-07-01 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 850 NORTH MAIN ST EXT |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edmund G Hohmann Dds | 850 North Main St Ext, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Lauren Schupack | 699 Andrea Ct, Cheshire, CT 06410-2943 | Controlled Substance Registration for Practitioner | 2019-07-11 ~ 2021-02-28 |
| Alan Armstrong Pa | 19 Elm St, Mystic, CT 06355-2443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Angelo M Barese | 9 Alan Ave, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 1994-06-15 ~ 1996-07-01 |
| Alan Segal Md | 266 Great Oak St, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Alan Wortman Dds | 312 Main St, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Alan J. Barnes | 2135 Nw 3rd Pl, Gainesville, FL 32603-1513 | Controlled Substance Registration for Practitioner | 2013-04-09 ~ 2015-02-28 |
| Alan Cooper Dds | 51 Brookwood Dr, Woodbridge, CT 06525-2610 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alan Lavian | 215 E 77th St Apt 1c, New York, NY 10075-2058 | Controlled Substance Registration for Practitioner | 2018-12-12 ~ 2021-02-28 |
| Alan E Sokolow | 9 Searles Rd, Darien, CT 06820 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Alan R Williams II | 78 Olive St Apt 503, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Please comment or provide details below to improve the information on ALAN D SCHUPACK DDS.
| 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).