MIRANDA LANGE (Credential# 1683960) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 16, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MIRANDA LANGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072271. The credential type is controlled substance registration for practitioner. The effective date is August 16, 2019. The expiration date is February 28, 2021. The business address is 25 Stanley St Apt B1, West Hartford, CT 06107-1831. The current status is active.
| Licensee Name | MIRANDA LANGE |
| Credential ID | 1683960 |
| Credential Number | CSP.0072271 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
25 Stanley St Apt B1 West Hartford CT 06107-1831 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-16 |
| Effective Date | 2019-08-16 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-08-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1671109 | 23.004565 | Physician Assistant | 2019-08-14 | 2019-08-14 - 2020-07-31 | ACTIVE |
| Street Address | 25 STANLEY ST APT B1 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-1831 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ayelet Connell-giammatteo · Simply Paleo With Ayelet Connell Phd | 25 Stanley St Apt A3, West Hartford, CT 06107-1831 | Cottage Food Operation | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew Lange | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bik-yin Miranda Ip | 303 Whitney Ave, New Haven, CT 06511-7204 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Max C Miranda Md | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Justine F. Miranda | 100 Retreat Ave, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michele Miranda | 329 Bliss Rd, Longmeadow, MA 01106-1535 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph K Kittah | 6 Miranda Ln, Stratford, CT 06615-5770 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Miranda Vincent | 459 Romanock Rd, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael A Miranda | 31 Seymour Street, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Clementine A Mainsah Aprn | 2 Miranda Ln, Stratford, CT 06615-5770 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nana N Kittah | 6 Miranda Lane, Stratford, CT 06615 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on MIRANDA LANGE.
| 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).