CHRISTINE FONTANA APRN (Credential# 161262) 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.
CHRISTINE FONTANA APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021494. 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 19 Autumn Ridge Rd, Branford, CT 06405. The current status is active.
| Licensee Name | CHRISTINE FONTANA APRN |
| Doing Business As | MAIDEN: CONSIGILIO |
| Credential ID | 161262 |
| Credential Number | CSP.0021494 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
19 Autumn Ridge Rd Branford CT 06405 |
| 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 | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 616114 | 10.E46457 | Registered Nurse | 1983-09-12 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 678789 | 12.000607 | Advanced Practice Registered Nurse | 1992-07-06 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 19 AUTUMN RIDGE RD |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Fontana | 19 Autumn Ridge Rd, Branford, CT 06405-6022 | Emergency Medical Technician | 2013-05-23 ~ 2016-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine H Oha Aprn | 905 Marble Dr, Naples, FL 34104-0818 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Christine A Smiley Aprn | 192 Geer Rd, Danielson, CT 06239-2214 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christine D Lundy Aprn | North Salem, NY 10560 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Christine M Rouleau Aprn | 68 Vantana Dr, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christine N Zarb Aprn | 25 Orems Ln, Wilton, CT 06897-4022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Margaret J Prewitt Aprn | 26 Christine Dr, Southington, CT 06489-3613 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Christine M Bihday Aprn | 86 Wepawaug Rd, Woodbridge, CT 06525-2423 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christine Segala Aprn | 142 Mikayla Lane, Prospect, CT 06712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christine A Blake Aprn | 38 Tallwood Dr, South Windsor, CT 06074-2914 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Christine Bechum Alexander Aprn | 921 Capitol Dr, Mountain Home, AR 72653-2052 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on CHRISTINE FONTANA APRN.
| 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).