EVAN J BURKE (Credential# 1643340) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
EVAN J BURKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070541. The credential type is controlled substance registration for practitioner. The effective date is April 1, 2019. The expiration date is February 28, 2021. The business address is 100 Retreat Ave, Hartford, CT 06106. The current status is active.
| Licensee Name | EVAN J BURKE |
| Credential ID | 1643340 |
| Credential Number | CSP.0070541 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
100 Retreat Ave Hartford CT 06106 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-01 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-04-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1056966 | 1.050756 | Physician/Surgeon | 2012-03-27 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1066555 | CSP.0052292 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-04-20 | 2013-03-01 - 2015-02-28 | INACTIVE |
| 1053811 | CSP.0052032 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 100 RETREAT AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lara Addesso | 100 Retreat Ave, Hartford, CT 06106 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Kseniya Khmara | 100 Retreat Ave, Hartford, CT 06102-8000 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Kevin Sean Elliott | 100 Retreat Ave, Hartford, CT 06106-2528 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jonathan H Tress | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A Kvam | 100 Retreat Ave, Hartford, CT 06106-2565 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael T Lawlor | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justine F. Miranda | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emily J Rosenbush Md | 100 Retreat Ave, Hartford, CT 06106-2528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sidra Azim | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maritza Montanez | 100 Retreat Ave, Hartford, CT 06016 | Physician/surgeon | 2020-04-02 ~ 2020-07-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evan P Provisor | Fiskdale, MA 01518-1043 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Evan Fox | 300 Hebron Ave Ste 107, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Evan W Jones | 475 Main St Apt 4l, New York, NY 10044-0087 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Evan Woodford | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-05-09 ~ 2021-02-28 |
| Evan J Fertig | 12 Doren Ave, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| George Seddon Dds | 108 Evan Rd, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Evan H Lee | 4209 163rd St Fl 2, Flushing, NY 11358-2617 | Controlled Substance Registration for Practitioner | 2017-08-03 ~ 2019-02-28 |
| Evan D Christensen Dds | 61 Sherman Street, Farifield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Evan K Krakovitz | 3030 Westchester Ave, Purchase, NY 10577 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Evan S Rashkoff | 269 Indian Mountain Rd, Lakeville, CT 06039-2007 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on EVAN J BURKE.
| 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).