CARRIE KIM GOMEZ
Controlled Substance Registration for Practitioner


Address: 385 Main St S, Southbury, CT 06488-4240

CARRIE KIM GOMEZ (Credential# 1615741) 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.

Business Overview

CARRIE KIM GOMEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069885. 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 385 Main St S, Southbury, CT 06488-4240. The current status is active.

Basic Information

Licensee Name CARRIE KIM GOMEZ
Credential ID 1615741
Credential Number CSP.0069885
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 385 Main St S
Southbury
CT 06488-4240
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-11-20
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-11

Other licenses

ID Credential Code Credential Type Issue Term Status
1601885 1.062091-DO Physician/Surgeon 2018-11-01 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 385 MAIN ST S
City SOUTHBURY
State CT
Zip Code 06488-4240

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Jeffrey Hawley Md 385 Main St S, Southbury, CT 06488-4228 Physician/surgeon 2020-09-01 ~ 2021-08-31
Thawatchai Boonyalai · Samui Thai Cusine 385 Main St S, Southbury, CT 06488-4240 Restaurant Wine & Beer 2020-03-17 ~ 2021-06-17
Michael C Trager 385 Main St S, Southbury, CT 06488-4240 Physician/surgeon 2020-03-01 ~ 2021-02-28
Gina Rupert 385 Main St S, Southbury, CT 06488-4240 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Nardelli Grinder Shoppe 385 Main St S, Southbury, CT 06488-4240 Operator of Weighing & Measuring Devices 2019-09-19 ~ 2020-07-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Marci H Lowman 385 Main St S #404-324, Southbury, CT 06488-4240 Pharmacy Technician 2020-04-01 ~ 2021-03-31
Km Smoke Shop LLC 385 Main St S Ste 401a, Southbury, CT 06488-4240 Lottery Sales Agent 2020-04-01 ~ 2021-03-31
Anna M Reis · Premier Wine and Spirits 385 Main St S Ste 402, Southbury, CT 06488-4240 Package Store Liquor ~
Km Smoke Shop 385 Main St S Ste 401a, Southbury, CT 06488-4240 Dealer of Electronic Nicotine Delivery System Or Vapor Product 2020-02-29 ~ 2021-02-28
Eric Koestner 220 Main St S, Southbury, CT 06488-4240 Behavior Analyst 2020-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jillian Jung 582 Patriot Rd, Southbury, CT 06488 Radiographer 2020-08-01 ~ 2021-07-31
Mary E Kohler 201 Old Highway, Southbury, CT 06488 Registered Nurse 2020-09-01 ~ 2021-08-31
Theresa K Bobak 266b Heritage Village, Southbury, CT 06488 Registered Nurse 2020-08-01 ~ 2021-07-31
Kelly Watson 800 Main Street South Suite 102, Southbury, CT 06488 Medication Administration Certification 2018-06-27 ~ 2020-06-26
Mcdonald's Rest #2104 44 Division St, Derby, CT 06488 Bakery 2020-07-01 ~ 2021-06-30
Shirley A Frager 5 West View Rd, Southbury, CT 06488 Registered Nurse 2020-07-01 ~ 2021-06-30
Maureen K Boyd 77 Shane Drive, Southbury, CT 06488 Physical Therapist 2020-09-01 ~ 2021-08-31
South Britain Oil LLC 424 Old Field Rd, Southbury, CT 06488 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Won Ju Lee 995 Old Field Rd, Southbury, CT 06488 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2022-01-31
Mcdonald's Rest #27001 652 New Haven Ave, Derby, CT 06488 Bakery 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06488

Competitor

Search similar business entities

City SOUTHBURY
Zip Code 06488
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHBURY

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Carrie Wong 20 York St, New Haven, CT 06510-3220 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Carrie F Spangler 151 Tremont St Apt 11p, Boston, MA 02111-1110 Controlled Substance Registration for Practitioner 2016-04-25 ~ 2017-02-28
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Dataset Information

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).

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