THERESA MALDONADO (Credential# 1513392) 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.
THERESA MALDONADO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068014. 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 102 Penn Rd, Scarsdale, NY 10583-7558. The current status is active.
| Licensee Name | THERESA MALDONADO |
| Credential ID | 1513392 |
| Credential Number | CSP.0068014 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
102 Penn Rd Scarsdale NY 10583-7558 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1493057 | 1.060338 | Physician/Surgeon | 2018-04-16 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 102 PENN RD |
| City | SCARSDALE |
| State | NY |
| Zip Code | 10583-7558 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jenifer M Johnson | 46 Overton Rd, Scarsdale, NY 10583 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Calin M Petrescu | 11 Crossway, Scarsdale, NY 10583 | Architect | 2020-08-01 ~ 2021-07-31 |
| Hal R Mendel | 386 Heathcote Rd, Scarsdale, NY 10583 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Barbara Exavier Clark | 34 Robin Hill Rd, Scarsdale, NY 10583 | Master's Level Social Worker | ~ |
| James A Cicalo | 11 Parkway Circle, Scarsdale, NY 10583 | Architect | 2020-08-01 ~ 2021-07-31 |
| Erica F Christ | 20 Livingston Road, Scarsdale, NY 10583 | Dietitian/nutritionist | 2020-07-01 ~ 2021-06-30 |
| Paul F Waters | 55 Mamaroneck Rd, Scarsdale, NY 10583 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Russell Grant | 1198 Post Road, Scarsdale, NY 10583 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jessica P Chan | 126 Edgemont Rd, Scarsdale, NY 10583 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Gary D Beane | 60 Mount Joy Avenue, Scarsdale, NY 10583 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10583 | |||
| City | SCARSDALE |
| Zip Code | 10583 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SCARSDALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pedro A Maldonado Md | 265 College St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Maria E Maldonado | 23 Fairfield Place, Yonkers, NY 10705 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Marie Isabel Torres-maldonado | 131 White St, Stratford, CT 06615-5946 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Oscar Maldonado Md | 76 Carriage Drive, North Haven, CT 06473-1505 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Theresa Huh | 825 E 4th St. #410, Los Angeles, CA 90013 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Theresa M Keddy | 21 Fox Run Rd, Unionville, CT 06085-1059 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Theresa M Nicoladse Lnm | 10 Lucille St, Fairfield, CT 06432 | Controlled Substance Registration for Practitioner | 2003-03-28 ~ 2004-02-28 |
| Theresa A Molisse Md | 9 Turnberry Rd, Wallingford, CT 06492-2743 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Theresa Piotrowski Md | 318 So Main St, Newtown, CT 06470 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Theresa R Kaeser | 1 Wildflower Dr, Oxford, CT 06478-1138 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).