AUDREY M BIRSTER (Credential# 1631796) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 14, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
AUDREY M BIRSTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070254. The credential type is controlled substance registration for practitioner. The effective date is February 14, 2019. The expiration date is February 28, 2021. The business address is 2000 Weavertown Road, Lebanon, PA 17046. The current status is active.
| Licensee Name | AUDREY M BIRSTER |
| Credential ID | 1631796 |
| Credential Number | CSP.0070254 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2000 Weavertown Road Lebanon PA 17046 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-02-14 |
| Effective Date | 2019-02-14 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1626588 | 12.008094 | Advanced Practice Registered Nurse | 2019-02-14 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 576292 | 10.072288 | Registered Nurse | 2003-10-08 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1615837 | 10.156438-TEMP | Registered Nurse - Temporary | 2018-11-20 | 2018-11-20 - 2019-03-20 | INACTIVE |
| Street Address | 2000 Weavertown Road |
| City | Lebanon |
| State | PA |
| Zip Code | 17046 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rose Marie Samuel | 370 Nth 9th Street, Lebanon, PA 17046 | Registered Nurse | 2019-09-05 ~ 2020-09-30 |
| Victoria Wagner | 902 Kimmerlings Road, Lebanon, PA 17046 | Registered Nurse | 2017-06-01 ~ 2018-05-31 |
| Michael J Koehler · Aerial Communication Systems Inc | 200 Heffelfinger Rd, Lebanon, PA 17046 | Tv & Radio Antenna Installation & Repair Dealer | ~ |
| Linda M Gonya-hartman · Gonya | 815 Maple Lane, Lebanon, PA 17046-2010 | Audiologist | 1998-12-07 ~ 1999-12-31 |
| Marie E Oberst | 905 Cypress Ln, Lebanon, PA 17046-2054 | Registered Nurse | 2009-05-22 ~ 2010-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Bazzano | 106 Bascom Road, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Victoria F Tuttle | 282 Exeter Rd, Lebanon, CT 06249-1321 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Dylan J Howley | 1818 Exeter Rd, Lebanon, CT 06249-1902 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Alan Peed | 353 Randall Rd, Lebanon, CT 06249 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Dennis G Goderre | 701 Waterman Rd, Lebanon, CT 06249-2638 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| David Hooper | 100 Barker Rd, Lebanon, CT 06249 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Square A Farm | 1068 Trumbull Hwy, Lebanon, CT 06249-1533 | Milk Producer | 2020-07-01 ~ 2021-06-30 |
| Matthew L Smith Aprn | 336 Babcock Hill Rd, Lebanon, CT 06249 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Tracy A Kelley | Po Box 256, Lebanon, CT 06249-0256 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Colton W. Schroder | 80 Burnham Rd, Lebanon, CT 06249-1400 | Embalmer Apprentice | 2019-07-09 ~ 2020-12-31 |
| Find all Licenses in Lebanon | |||
| City | Lebanon |
| Zip Code | 17046 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Lebanon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Audrey L Garrett | 55 Nye Rd Ste 102, Glastonbury, CT 06033-1281 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey S Lefkowitz Md | Po Box 58, Amston, CT 06231-0058 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey L Elliott Dmd | 4 Ichabod Rd, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Audrey Lastra Pa-c | 59 Cypress Rd, Newington, CT 06111-5601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey Chun | 5 Perryridge Road, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2015-05-18 ~ 2017-02-28 |
| Audrey Leclerc Aprn | 673 Burnham St, E Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 1993-02-22 ~ 1995-03-01 |
| Audrey C Bregante Aprn | 319 Columbus Ave, Valhalla, NY 10595 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey Anne Merriam | 249 Castle Ave, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey M Kemp | 8 Wildflower Drive, Hebron, CT 06248 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Audrey J Bakanauskas Aprn | 19 Phelps St, Windsor, CT 06075 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on AUDREY M BIRSTER.
| 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).