SARAH P MATTESSICH (Credential# 1674833) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 10, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SARAH P MATTESSICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071874. The credential type is controlled substance registration for practitioner. The effective date is July 10, 2019. The expiration date is February 28, 2021. The business address is 64 Robbis Street Rm 3304, Waterbury, CT 06708. The current status is active.
| Licensee Name | SARAH P MATTESSICH |
| Credential ID | 1674833 |
| Credential Number | CSP.0071874 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
64 Robbis Street Rm 3304 Waterbury CT 06708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-10 |
| Effective Date | 2019-07-10 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1674608 | 1.063888-RES | Resident Physician | 2019-06-10 | 2019-06-10 - 2020-06-22 | INACTIVE |
| Street Address | 64 Robbis Street rm 3304 |
| City | Waterbury |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tijana Samardzic | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2023-06-30 |
| Michelle Melo | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2023-06-30 |
| Jamie Hu-daniele | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2021-06-30 |
| Kristopher Kelly | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2021-06-30 |
| Sherley Demetrius | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2021-06-30 |
| Sally Ratliff | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2021-06-30 |
| Murrium Sadaf | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2018-06-11 ~ 2021-06-30 |
| Kanza Haq | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2018-06-11 ~ 2021-06-30 |
| Fancisco Rincon | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Bemen Habashi | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2018-06-11 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | Waterbury |
| Zip Code | 06708 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah K Oh Md | 201 E 79th St Apt 11c, New York, NY 10075-0836 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Sarah E Jay | 45 Jesswig Dr, Hamden, CT 06517-2134 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah A Mulukutla | Po Box 426, Harriman, NY 10926-0426 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah C Li | 100 Temple St Apt 211, New Haven, CT 06510-2728 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sarah L Curtis | 115 Oak Ter, Durham, CT 06422-1507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah M Holdsworth | 208 Crosswoods Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sarah Ball | 2 Judy Dr, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Sarah Gradilla | 112 Southfield Ave, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah S Massey | 195 Timber Ln, Cheshire, CT 06410-2622 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah R Gottfried | 127 Dwight St. Apt. 2, New Haven, CT 06511-4501 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on SARAH P MATTESSICH.
| 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).