MARY COLBURN (Credential# 1522994) 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.
MARY COLBURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068648. 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 6 Bailey Dr, West Haven, CT 06516-6203. The current status is active.
| Licensee Name | MARY COLBURN |
| Credential ID | 1522994 |
| Credential Number | CSP.0068648 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Bailey Dr West Haven CT 06516-6203 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-11 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1519404 | 12.007605 | Advanced Practice Registered Nurse | 2018-06-10 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1049097 | 10.105020 | Registered Nurse | 2012-03-27 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 6 BAILEY DR |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-6203 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mitchell G Moffat Md | 256 Colburn Rd, Canterbury, CT 06331-1117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary J O | 109 E Gate Ln, Hamden, CT 06514-2233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary G Boy | 237 Clift St, Mystic, CT 06355-1726 | Controlled Substance Registration for Practitioner | 2018-12-20 ~ 2021-02-28 |
| Mary B O'malley | Po Box 447, Housatonic, MA 01236-0447 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
| Mary T Coppolo | 21 Morgan Ave, Norwalk, CT 06851-5007 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary B Porter Md | 299 Washington Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Omotoke O Missih | 3 Mary Ann Ln, Wallingford, CT 06492-4914 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
| Mary Hall Md | 84 Smith St, Niantic, CT 06357 | Controlled Substance Registration for Practitioner | 2004-03-23 ~ 2005-02-28 |
| Mary Ann C Lim Md | 1-12 King Arthur Way, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Mary Ann D Bentz | 425 Montauk Ave, New London, CT 06320-4642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARY COLBURN.
| 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).