ANDREA MADELINE SNYDER (Credential# 1665096) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 31, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
ANDREA MADELINE SNYDER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071336. The credential type is controlled substance registration for practitioner. The effective date is May 31, 2019. The expiration date is February 28, 2021. The business address is 2575 Northwinds Pkwy Fl 6, Alpharetta, GA 30009-2232. The current status is inactive.
Licensee Name | ANDREA MADELINE SNYDER |
Credential ID | 1665096 |
Credential Number | CSP.0071336 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
2575 Northwinds Pkwy Fl 6 Alpharetta GA 30009-2232 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2019-05-31 |
Effective Date | 2019-05-31 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1487106 | 1.060340 | Physician/Surgeon | 2018-04-16 | 2018-12-01 - 2019-11-30 | INACTIVE |
Street Address | 2575 NORTHWINDS PKWY FL 6 |
City | ALPHARETTA |
State | GA |
Zip Code | 30009-2232 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karim Mohammad Rahimi | 2655 Northwinds Parkway, Alpharetta, GA 30009 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nancy Covington | 11390 Old Roswell Road, Alpharetta, GA 30009 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Reza S Jenabzadeh | 8000 Avalon Blvd, Suite 700, Alpharetta, GA 30009 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Romulo Lakip Jr | 7905 Westside Parkway Ste 100, Alpharetta, GA 30009 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
Sarah C Carver | 2112 Woodland Lane, Alpharetta, GA 30009 | Occupational Therapist | 2013-08-01 ~ 2015-07-31 |
Barbara Robinson | 2655 Northwinds Pkwy, Alpharetta, GA 30009 | Physician/surgeon | 2019-12-02 ~ 2020-12-31 |
Truc Thi Minh Nguyen | 2655 Northwinds Parkway, Alpharetta, GA 30009 | Physician/surgeon | 2019-11-04 ~ 2020-10-31 |
Allen Berkowitz | 2655 Northwinds Parkway, Alpharetta, GA 30009 | Physician/surgeon | ~ |
Susan E Shea | 378 Meadow Dr, Alpharetta, GA 30009-1559 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Eric R Zinn | 111 Spur Ln, Alpharetta, GA 30009-1808 | Lottery Or Otb Service Provider Management | 2019-06-20 ~ 2020-08-31 |
Find all Licenses in zip 30009 |
City | ALPHARETTA |
Zip Code | 30009 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALPHARETTA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rosalba Mucciarella Md | 40 Brantwood Rd, Snyder, NY 14226 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Courtney L Snyder Dvm | 64 Kensington St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicole Snyder | 28 Beacon St Apt 6, Hartford, CT 06105-4124 | Controlled Substance Registration for Practitioner | 2019-08-09 ~ 2021-02-28 |
Herbert L Snyder | 47 Highwood Dr, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Aaron R Snyder | 44 Woodland Park, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Andrew M Snyder Md | 4522 19th St, San Francisco, CA 94114-2333 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Michael S Snyder | 1500 Post Rd Ste 258, Darien, CT 06820-5936 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
David Louis Snyder | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Elise W Snyder Md | 455 Fdr Drive 1704b, New York, NY 10002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
G Gordon Snyder IIi | 701-a Cottage Grove, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).