DANIELLE LEE MALLORY (Credential# 1673577) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 3, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DANIELLE LEE MALLORY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071812. The credential type is controlled substance registration for practitioner. The effective date is July 3, 2019. The expiration date is February 28, 2021. The business address is 141 Way Rd, Salem, CT 06420-3716. The current status is active.
| Licensee Name | DANIELLE LEE MALLORY |
| Credential ID | 1673577 |
| Credential Number | CSP.0071812 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
141 Way Rd Salem CT 06420-3716 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-03 |
| Effective Date | 2019-07-03 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1667829 | 12.008280 | Advanced Practice Registered Nurse | 2019-07-01 | 2019-07-01 - 2020-07-31 | ACTIVE |
| 1073818 | 10.106603 | Registered Nurse | 2012-07-06 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 141 WAY RD |
| City | SALEM |
| State | CT |
| Zip Code | 06420-3716 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Ann Vurno | 139 Way Rd, Salem, CT 06420-3716 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Nancy E Rodgers | 147 Way Rd, Salem, CT 06420-3716 | Professional Counselor | 2020-02-01 ~ 2021-01-31 |
| Peter A Silva | 135 Way Rd, Salem, CT 06420-3716 | Emergency Medical Technician | 2019-06-26 ~ 2022-03-31 |
| Victor L Ebersole | 135 Way Rd, Salem, CT 06420-3716 | Fire Protection Unlimited Journeyperson | 2009-11-01 ~ 2010-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra I Delorimiere | 322 Round Hill Road, Salem, CT 06420 | Real Estate Salesperson | ~ |
| Darci J Smith | 25 Salem Ridge Drive, Salem, CT 06420 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Pamela Minella | 135 Sullivan Rd., Salem, CT 06420 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
| Alfreda Shapere · Bingham | 170 Darling Rd, Salem, CT 06420 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Paul A Pudimat Md | 61 Emerald Glen Lane, Salem, CT 06420 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas J Butcher | 248 Norwich Road, Salem, CT 06420 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Destiny Faye Henkel | 65 Horse Pond Rd, Salem, CT 06420 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-13 |
| Kevin R Fennell | 105 Witter Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Scott D Pellerin | 301 Rattlesnake Ledge Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Salem Prime Cuts Inc · John Fusaro Jr | 12 New London Rd, Salem, CT 06420 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06420 | |||
| City | SALEM |
| Zip Code | 06420 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mallory M Przybylski | 150 Front St, New Haven, CT 06513-3929 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mallory Logsdon | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mallory Iverson | 192 E Center St, Manchester, CT 06040-5210 | Controlled Substance Registration for Practitioner | ~ |
| Mallory Grosso | 515 West Ave Apt Ph38, Norwalk, CT 06850-4047 | Controlled Substance Registration for Practitioner | 2019-01-23 ~ 2021-02-28 |
| Mallory S Breitmaier | 32 Farm Gate Rd, Colchester, CT 06415-2622 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph Farah | 64 Mallory Road, Roxbury, CT 06783 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raburn Mallory Md | 41 Barrett Street, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2002-03-11 ~ 2003-02-28 |
| Mallory M Macdonald Aprn | 43 Pillsbury Hill, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kaitlyn M Way | 517 Danielle Way, Dayville, CT 06241-1334 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| Danielle Hellthaler | 4 Bailey St, Trumbull, CT 06611-4302 | Controlled Substance Registration for Practitioner | 2019-08-01 ~ 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).