SANDRA CARBONARI MD (Credential# 153579) 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.
SANDRA CARBONARI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011107. 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 77 North Farm Rd, Middlebury, CT 06762. The current status is active.
| Licensee Name | SANDRA CARBONARI MD |
| Credential ID | 153579 |
| Credential Number | CSP.0011107 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
77 North Farm Rd Middlebury CT 06762 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544683 | 1.023677 | Physician/Surgeon | 1982-07-07 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 77 North Farm Rd |
| City | Middlebury |
| State | CT |
| Zip Code | 06762 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | Middlebury |
| Zip Code | 06762 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Middlebury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claudia Carbonari Md | 39 Hampshire Dr, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sandra S Wu Dvm | 88 Curtis Dr, New Haven, CT 06515-2342 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Sandra Mattison | 51 Wrinn St, Wallingford, CT 06492-3141 | Controlled Substance Registration for Practitioner | 2018-12-21 ~ 2021-02-28 |
| Sandra M Bergers | 91 Airline Rd, Clinton, CT 06413-1001 | Controlled Substance Registration for Practitioner | 2020-02-24 ~ 2021-02-28 |
| Sandra J Rabis | 83 Parmelee Rd, Haddam, CT 06438 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sandra Ang | 47 Byfield Lane, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sandra S Rao | St Vincents Hospital, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2008-02-29 ~ 2009-02-28 |
| Sandra Seelig | 900 Chapel St Apt 113, New Haven, CT 06510-2826 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sandra A Blackler | 213 S Broadway Apt 1, Tarrytown, NY 10591-4512 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sandra Anderson | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 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).