DEBORAH ROTH BERRY (Credential# 1595575) 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.
DEBORAH ROTH BERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069411. 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 467 Sylvan Knoll Road, Stamford, CT 06902. The current status is active.
| Licensee Name | DEBORAH ROTH BERRY |
| Credential ID | 1595575 |
| Credential Number | CSP.0069411 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
467 Sylvan Knoll Road Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1512155 | 23.004214 | Physician Assistant | 2018-08-24 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 467 Sylvan Knoll Road |
| City | Stamford |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | Stamford |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy M Roth | 257 New Britain Ave, Unionville, CT 06085-1274 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Toni C Roth | 547 Paxonhallow Rd, Broomell, PA 19008 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Stanley Roth Md | 586 Lake Dr, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Zachary M Roth | 56 Ledgewood Dr East, Weston, CT 06883-1132 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Malcolm S Roth | 33 Saddle Ridge, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Anne G Roth | 90 Crescent Way, Monroe Township, NJ 08831 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Stefanie Z Roth Md | 7 Alden Avenue, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Roth O. Owen Aprn | Po Box 310139, New Braunfels, TX 78131-0139 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
| Brandon Roth | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shari Roth Md | 836 Farmington Ave Ste 121, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DEBORAH ROTH BERRY.
| 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).