BETSEY PARK PA (Credential# 162789) 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.
BETSEY PARK PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023759. 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 Longwharf Pediatrics & Adolescent Med, New Haven, CT 06511. The current status is active.
| Licensee Name | BETSEY PARK PA |
| Credential ID | 162789 |
| Credential Number | CSP.0023759 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Longwharf Pediatrics & Adolescent Med New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| Street Address | LONGWHARF PEDIATRICS & ADOLESCENT MED |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Betsey L Borg Dvm | 167 Smith Rd, East Haddam, CT 06423-1251 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Minchul Park | 226 Orchard Park, Allendale, NJ 07401-1746 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meyeon Park | 246 Park Street Apartment 23, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| John J Khadem Md | 3003 New Hydg Park Suite 311, New Hyde Park, NY 11040 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Fred Joseph De Lucia | 3003 New Hyde Park Rd Ste 312, New Hyde Park, NY 11042-1214 | Controlled Substance Registration for Practitioner | 2019-09-10 ~ 2021-02-28 |
| Sai Mi Kim | 456 Park St, Hartford, CT 06106-1525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rituparna Das | 111 Park St Apt 8p, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2010-12-14 ~ 2013-02-28 |
| Won Jun Park | 301 W 53rd St Apt 5j, New York, NY 10019-5768 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Vinay Rao | 24 Park Pl Apt 18a, Hartford, CT 06106-5016 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| How Yee Heidi Hon | 2 Park Pl Apt 11h, Hartford, CT 06106-5012 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
Please comment or provide details below to improve the information on BETSEY PARK PA.
| 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).