SAMANTHA DIPPOLINO (Credential# 1675640) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 15, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SAMANTHA DIPPOLINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071922. The credential type is controlled substance registration for practitioner. The effective date is July 15, 2019. The expiration date is February 28, 2021. The business address is 577 High St, Middletown, CT 06457-2222. The current status is active.
| Licensee Name | SAMANTHA DIPPOLINO |
| Credential ID | 1675640 |
| Credential Number | CSP.0071922 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
577 High St Middletown CT 06457-2222 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-15 |
| Effective Date | 2019-07-15 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1435573 | 10.144717 | Registered Nurse | 2017-09-07 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1268535 | 58.009195 | Licensed Clinical Social Worker | 2015-08-11 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1668481 | 12.008295 | Advanced Practice Registered Nurse | 2019-07-14 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 577 HIGH ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-2222 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin Robert Morneault | 577 High St, Middletown, CT 06457-2222 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha A Pelow | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha Wennerberg Pa | 55 Lock St, New Haven, CT 06511-3603 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Samantha A Matney | 33 Radding St, Manchester, CT 06042-3628 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Samantha G Lee | 172 Whitman Ave, West Hartford, CT 06107-1635 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha S Hyacinth | 70-212 Scott St, Meriden, CT 06450-7242 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Samantha L Margulies | 200 College St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha K Mraz | 70 Ripton Rd, Shelton, CT 06484-2668 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha L Gelfand | 20 York St # 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Samantha Dane | 2 Stelmack Rd, Derby, CT 06418-2513 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha M Genovese | 3 Ric Ct, North Branford, CT 06471 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SAMANTHA DIPPOLINO.
| 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).