SEAN O'ROURKE (Credential# 2039137) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 27, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SEAN O'ROURKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073796. The credential type is controlled substance registration for practitioner. The effective date is April 27, 2020. The expiration date is February 28, 2021. The business address is 813 Miller St, Winston Salem, NC 27103-3616. The current status is active.
| Licensee Name | SEAN O'ROURKE |
| Credential ID | 2039137 |
| Credential Number | CSP.0073796 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
813 Miller St Winston Salem NC 27103-3616 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-27 |
| Effective Date | 2020-04-27 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1992149 | 1.065290 | Physician/Surgeon | 2020-04-23 | 2020-04-23 - 2020-12-31 | ACTIVE |
| Street Address | 813 MILLER ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3616 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren O'rourke | 813 Miller St, Winston Salem, NC 27103-3616 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Greenleaf Medical Supply LLC | 1409 Plaza West Rd Ste# G, Winston Salem, NC 27103 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Voelkel Corp LLC | 615 St. George Square Court, Ste. 300, Winston Salem, NC 27103 | Importer of Bedding & Upholstered Furniture | 2018-05-01 ~ 2019-04-30 |
| Kyle Gibson Smith | 2931 Woodworth Dr, Winston Salem, NC 27103 | Radiographer | ~ |
| Carol Marie Mabeus | 5012 Wyngate Village Dr, Winston Salem, NC 27103 | Registered Nurse | 2020-01-28 ~ 2020-10-31 |
| Anne Carolyne Tyner | 60 Scott Hollow Drive, Winston Salem, NC 27103 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Adrienne B Ross | 2250 Maple Ridge Lane, Winston Salem, NC 27103 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Elimarie Caballero Qui�ones | 173 Tudor Downs Rd., Winston Salem, NC 27103 | Psychologist | 2019-07-01 ~ 2020-06-30 |
| Virginia Carolina Vo | 131 Charlotte Ct, Winston Salem, NC 27103 | Registered Nurse - Temporary | 2018-05-22 ~ 2018-09-18 |
| Dorothy N Reilly | 2208 Elizabeth Ave, Winston-salem, NC 27103 | Real Estate Broker | 2002-08-06 ~ 2003-03-31 |
| Matthew A Augustine | 2786 Kingsdale Court, Winston-salem, NC 27103 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
| Find all Licenses in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINSTON SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Srihari Paidakula | 2784 Rourke Dr, Aurora, IL 60503-3662 | Controlled Substance Registration for Practitioner | 2014-06-20 ~ 2015-02-28 |
| George W O'rourke | 601 Ocean Dr. W., Key Colony Beach, FL 33051-0069 | Controlled Substance Registration for Practitioner | 1993-11-15 ~ 1995-12-01 |
| Marilyn O'rourke Aprn | 35 Shallow Brook Lane, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| James F O'rourke Md | 263 Farmington Avenue, Farmington, CT 06030-3105 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Sean Finney Md | 47 Schwink Dr, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sean W Burke Pa-c | 7 Clifdon Dr, Simsbury, CT 06070-1230 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean K Lee | 34 Church Hill Rd, Newtown, CT 06470-1642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean T West Od | 49 Gatehouse Rd, Trumbull, CT 06611-1610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sean R Stockwell | 146 Barnsbee Ln, Coventry, CT 06238-1680 | Controlled Substance Registration for Practitioner | 2020-06-18 ~ 2021-02-28 |
| Sean J Collins | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2015-05-27 ~ 2017-02-28 |
Please comment or provide details below to improve the information on SEAN O'ROURKE.
| 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).