SCOTT A VANDER VENNET MD (Credential# 158959) 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.
SCOTT A VANDER VENNET MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027281. 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 2 Ivy Brook Rd Ste 125, Shelton, CT 06484-6416. The current status is active.
Licensee Name | SCOTT A VANDER VENNET MD |
Credential ID | 158959 |
Credential Number | CSP.0027281 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
2 Ivy Brook Rd Ste 125 Shelton CT 06484-6416 |
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 | 2019-02-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
554626 | 1.037036 | Physician/Surgeon | 1998-07-02 | 2019-08-01 - 2020-07-31 | ACTIVE |
Street Address | 2 IVY BROOK RD STE 125 |
City | SHELTON |
State | CT |
Zip Code | 06484-6416 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ruslana Aferzon | 2 Ivy Brook Rd Ste 110, Shelton, CT 06484-6416 | Hearing Instrument Specialist | 2020-04-01 ~ 2022-03-31 |
Nami Bayan | 2 Ivy Brook Rd Ste 120, Shelton, CT 06484-6416 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Mark Aferzon Md | 2 Ivy Brook Rd Ste 110, Shelton, CT 06484-6416 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Find all Licenses in zip 06484 |
City | SHELTON |
Zip Code | 06484 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHELTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Theresa L Vander Vennet · Stager | 4 Hollow Oak Rd, Woodbridge, CT 06525-1854 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Carin M Vander Klok Dvm | #1b Hill Ct, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Steven J Vander Naalt | 159 Yordy Rd, Morton, IL 61550-2929 | Controlled Substance Registration for Practitioner | 2015-04-22 ~ 2017-02-28 |
Patricia L Vander Vennet · Matkoskey | 21 Sycamore Drive, White River Junction, VT 05001 | Registered Nurse | 2003-06-25 ~ 2004-08-31 |
Katrina Vander Biezen Do | 12125 Fountainbrook Blvd, Orlando, FL 32825-7018 | Controlled Substance Registration for Practitioner | 2010-06-10 ~ 2011-02-28 |
Eric R Scott | 650 Mix Ave Apt 5a, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Scott I. Pyo | 231 Picasso Cir, Sacramento, CA 95835-2647 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Scott R Sobieraj | Williamsville, NY 14221 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Ami S Marshall | 142 Scott Ave, Watertown, CT 06795-2521 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Scott C Graham Md | 19 Frontier Rd, Cos Cob, CT 06807 | 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).