CHRISTY D DISTASIO (Credential# 1791855) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 8, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHRISTY D DISTASIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072559. The credential type is controlled substance registration for practitioner. The effective date is October 8, 2019. The expiration date is February 28, 2021. The business address is 15 Charles St, West Haven, CT 06516-5710. The current status is active.
| Licensee Name | CHRISTY D DISTASIO |
| Credential ID | 1791855 |
| Credential Number | CSP.0072559 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15 Charles St West Haven CT 06516-5710 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-08 |
| Effective Date | 2019-10-08 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-10-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1674395 | 23.004628 | Physician Assistant | 2019-10-07 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1342071 | PTN.0018987 | PHARMACY TECHNICIAN | 2016-03-30 | 2016-03-30 - 2017-03-31 | INACTIVE |
| Street Address | 15 CHARLES ST |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-5710 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia E Distasio | 15 Charles St, West Haven, CT 06516-5710 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura E Crawley | 35 Charles St, West Haven, CT 06516-5710 | Veterinarian | 2020-05-01 ~ 2021-04-30 |
| Sarah Ohrin | 25 Charles St, West Haven, CT 06516-5710 | Real Estate Salesperson | 2017-06-21 ~ 2018-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan A Distasio Aprn | 200 Kennedy Dr, Torrington, CT 06790-3096 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Elizabeth P Pleickhardt Do | 50 Christy Dr, Warren, NJ 07059-6833 | Controlled Substance Registration for Practitioner | 2011-06-29 ~ 2013-02-28 |
| Christy L Cummings | 267 Melba St #21b, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Carla J Christy Md | 152 Templ St Apt 408, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Christy L Fedorwich Pa | 24 Park Place #24-h, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Christy L Socha | 8 Village Dr, East Lyme, CT 06333-1239 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin S Ikuta | 12472 Christy Ln, Los Alamitos, CA 90720-4761 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christy A Stanat | 130 River Road, Essex, CT 06426 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christy A Hendrie | 60 Clover Hill Rd, Trumbull, CT 06611-2556 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christy E Chase · Foote | 40 Chantil Circle, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CHRISTY D DISTASIO.
| 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).