BETHANY TERESA FUSINI (Credential# 1689745) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 5, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BETHANY TERESA FUSINI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072366. The credential type is controlled substance registration for practitioner. The effective date is September 5, 2019. The expiration date is February 28, 2021. The business address is 118 Rowley St, Agawam, MA 01001-1629. The current status is active.
| Licensee Name | BETHANY TERESA FUSINI |
| Credential ID | 1689745 |
| Credential Number | CSP.0072366 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
118 Rowley St Agawam MA 01001-1629 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-05 |
| Effective Date | 2019-09-05 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-09-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1671790 | 23.004575 | Physician Assistant | 2019-09-04 | 2019-09-04 - 2020-07-31 | ACTIVE |
| Street Address | 118 ROWLEY ST |
| City | AGAWAM |
| State | MA |
| Zip Code | 01001-1629 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela J Freeman Brown | 1324 Main Street, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ashley Erin Dimauro | 25 Deer Run Road, Agawam, MA 01001 | Registered Nurse | ~ |
| Lou A Fitch | 60 Mallard Circle, Agawam, MA 01001 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
| Maryanne Catanzaro · Catanzaro,leone | 16 Channell Drive, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sunhee Hwang | 54 River Rd, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-10-31 |
| Taehoon An | 58 River Rd, Agawam, MA 01001 | Nail Technician | 2020-06-17 ~ 2022-05-31 |
| Ji Hye Safarik | 119 Albert St, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-16 ~ 2022-02-28 |
| Consuelo Ana Leblanc | 39 Hunting Lane, Agawam, MA 01001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sangkeun Yi | 322 Meadow St, Agwam, MA 01001 | Nail Technician | 2020-06-12 ~ 2022-06-30 |
| Kyunghee Koh | 56 River Road, Agawam, MA 01001 | Nail Technician | 2020-06-12 ~ 2021-08-31 |
| Find all Licenses in zip 01001 | |||
| City | AGAWAM |
| Zip Code | 01001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AGAWAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jianchao Xu Md | 79 Bethany Farms Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edmund F Caporaso | 15 Bethany Woods Rd, Bethany, CT 06524-3103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa T Lee Md | 1 Goodwin Place, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa K Spencer | 26 Homestead Ave, Derby, CT 06418-2516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa L Smith | 13 Egypt Ln, Clinton, CT 06413-2514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa Bremner Md | 19 Locust Ln, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Teresa M Love Dvm | 451 River Rd, Willington, CT 06279-1332 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Teresa Sheetz | 17 Southridge Rd, Prospect, CT 06712 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Teresa A Martinez | 198 Brookdale Rd, Stamford, CT 06903-4130 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marygene M Santa Teresa | 25 Thayer Ave, Narragansett, RI 02882-3819 | 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).