JULIE N ROME (Credential# 1668642) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 18, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JULIE N ROME is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071553. The credential type is controlled substance registration for practitioner. The effective date is June 18, 2019. The expiration date is February 28, 2021. The business address is 25 Fawn Brk, West Hartford, CT 06117-1032. The current status is active.
| Licensee Name | JULIE N ROME |
| Credential ID | 1668642 |
| Credential Number | CSP.0071553 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
25 Fawn Brk West Hartford CT 06117-1032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-18 |
| Effective Date | 2019-06-18 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-06-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1663770 | 12.008239 | Advanced Practice Registered Nurse | 2019-06-18 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1288496 | 10.127381 | Registered Nurse | 2015-06-25 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1502396 | 10.149510-TEMP | Registered Nurse - Temporary | 2018-04-04 | 2018-04-04 - 2018-08-01 | INACTIVE |
| Street Address | 25 FAWN BRK |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-1032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susanne Shrader Md | 12 Fawn Brk, West Hartford, CT 06117-1032 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Benjamin W Roland | 3 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2019-07-01 ~ 2022-06-30 |
| Ethan Z Pinkes | 29 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2018-05-09 ~ 2021-01-01 |
| Deena G Sisitsky | 17 Fawn Brk, West Hartford, CT 06117-1032 | Real Estate Salesperson | ~ |
| Suzanne M Batchelor | 29 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2018-03-06 ~ 2021-01-01 |
| Nathaniel Pinkes | 29 Fawn Brk, West Hartford, CT 06117-1032 | Emergency Medical Technician | 2017-06-23 ~ 2021-01-01 |
| Joseph M Civetta Md | 12 Fawn Brk, West Hartford, CT 06117-1032 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | WEST HARTFORD |
| Zip Code | 06117 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa S Rome | 2 Trap Falls Rd, Shelton, CT 06484-4616 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Imtiaz Samad Md | 7993 Cedarwood Dr, Rome, NY 13440 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Sandipani M Sandilya | 4325 W Rome Blvd Apt 3208, North Las Vegas, NV 89084-5494 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julie S Lee | 57 S Main St, Middletown, CT 06457-3606 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Julie Kim | 44 Hemlock Hollow, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Julie A. Chilton Md | 711 Orange St, New Haven, CT 06511-2513 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2016-04-22 |
| Julie A Zito | 53 Stanton Ln, Pawcatuck, CT 06379-1404 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julie S Maniate | 32 High St Apt 607, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Julie L Bordua | 108 Dwight Rd, Springfield, MA 01108-3406 | Controlled Substance Registration for Practitioner | 2015-08-06 ~ 2017-02-28 |
| Julie E Volpe Md | 331 Wethersfield Ave, Hartford, CT 06114 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).