HEATHER TETTELBACH (Credential# 1996940) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 7, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
HEATHER TETTELBACH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072984. The credential type is controlled substance registration for practitioner. The effective date is January 7, 2020. The expiration date is February 28, 2021. The business address is 10 Valley Ln, Fairfield, CT 06825-1436. The current status is active.
| Licensee Name | HEATHER TETTELBACH |
| Credential ID | 1996940 |
| Credential Number | CSP.0072984 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
10 Valley Ln Fairfield CT 06825-1436 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-07 |
| Effective Date | 2020-01-07 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1798976 | 23.004682 | Physician Assistant | 2019-11-01 | 2019-11-01 - 2020-08-31 | ACTIVE |
| Street Address | 10 VALLEY LN |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-1436 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather A Alfonso | 195 Joy Rd, Middlebury, CT 06762-2521 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Heather Humphrey | 84 Portland St, Oakville, CT 06779-1032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Naomie Legagneur | 122 Heather Rdg, Shelton, CT 06484-4644 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather Hooper Pa | 729 Quinnipiac Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 1995-01-25 ~ 1996-02-28 |
| Heather Harris | 19 Galaxy Dr, Manchester, CT 06040-6304 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather L Phillips | 35 Westwood Cir, Meriden, CT 06450-7253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather Tirpaeck | 109 Cooley Dr, Longmeadow, MA 01106-1305 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather Kurtis | 315 E 65th St Apt 10h, New York, NY 10065-6851 | Controlled Substance Registration for Practitioner | 2018-07-06 ~ 2019-02-28 |
| Heather A Player | 722 Westover Rd, Stamford, CT 06902-1328 | Controlled Substance Registration for Practitioner | 2016-02-10 ~ 2017-02-28 |
| Heather C Borsari | 68 E Main St, Clinton, CT 06413-2035 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).