SIMONE SIMON MD (Credential# 159995) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
SIMONE SIMON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020308. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 365 Elm Street, West Haven, CT 06516. The current status is inactive.
| Licensee Name | SIMONE SIMON MD |
| Credential ID | 159995 |
| Credential Number | CSP.0020308 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
365 Elm Street West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-04-04 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550002 | 1.032393 | Physician/Surgeon | 1992-06-26 | 2009-06-03 - 2010-06-30 | INACTIVE |
| Street Address | 365 ELM STREET |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| 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 |
|---|---|---|---|
| Mark Simone | 64 Robbins St, Waterbury, CT 06721 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Richard R Simone | 33 Berlin Ave, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 1993-03-25 ~ 1995-02-01 |
| Simone V Gorski | 177 Bell St, Glastonbury, CT 06033-1724 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Renee Simone | 71 Mary St, Chicopee, MA 01020-1139 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brittany A Simone | 123 York St Apt 5g, New Haven, CT 06511-5621 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Tamika Simone Julien | 20 Red Maple Ln, Waterbury, CT 06704-1288 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Simone Bailey Md | 505 Sienna Drive, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Simone Caroline Ellis | 736 Boston Ave, Bridgeport, CT 06610-2027 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert I Sack | 5410 Avenue Simone, Lutz, FL 33558-2828 | Controlled Substance Registration for Practitioner | 2009-11-13 ~ 2011-02-28 |
| Simon Kim | Po Box 208058, New Haven, CT 06520-8058 | Controlled Substance Registration for Practitioner | 2013-07-24 ~ 2015-02-28 |
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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).