ROBERT A BALLA (Credential# 160035) 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.
ROBERT A BALLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017384. 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 928 Farmington Ave, West Hartford, CT 06107. The current status is active.
| Licensee Name | ROBERT A BALLA |
| Credential ID | 160035 |
| Credential Number | CSP.0017384 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
928 Farmington Ave West Hartford CT 06107 |
| 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 | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 702045 | 2.007511 | Dentist | 1989-07-13 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 928 Farmington Ave |
| City | West Hartford |
| State | CT |
| Zip Code | 06107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruce M Abel Dmd | 928 Farmington Ave, West Hartford, CT 06107 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Ema Cabral Burke Dmd | 928 Farmington Ave, West Hartford, CT 06107-2227 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Shayna B Burke | 928 Farmington Ave, West Hartford, CT 06107-2227 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara Elizabeth Kerin | 928 Farmington Ave, West Hartford, CT 06107-2227 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David H Burkard | 928 Farmington Ave, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Rosenlieb Dmd | 928 Farmington Ave, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Seth Kabakoff Dds | 928 Farmington Ave, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John W Rosenlieb Jr | 928 Farmington Ave, West Hartford, CT 06107 | Dentist | 2019-09-01 ~ 2020-08-31 |
| Martin J Ungar | 928 Farmington Ave, West Hartford, CT 06107 | Dentist | 2019-08-01 ~ 2020-07-31 |
| William S Lavine | 928 Farmington Ave, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | West Hartford |
| Zip Code | 06107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Usha R Balla | 557 Park Rd Apt 4, Waterbury, CT 06708-2373 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Robert F Maier | 9 Robert Street, Somers, CT 06071 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Robert C. Piela | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 | |
| Robert W Slauch | Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert Qiu | 76 Ship Ave Apt 3, Medford, MA 02155 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert Lam | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-08-07 ~ 2021-02-28 |
| Robert J Miller Dds | 133 Fifth St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Robert S Wetmore Md | P.o. Box 490, Plantsville, CT 06479 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert A Dix Dds | 134 Old Ridgefield Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Robert S Madenjian | P O Box 285, Brooklyn, CT 06234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ROBERT A BALLA.
| 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).