JOSEPH RYAN VENTURA BAUTISTA (Credential# 2042141) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 3, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JOSEPH RYAN VENTURA BAUTISTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073883. The credential type is controlled substance registration for practitioner. The effective date is June 3, 2020. The expiration date is February 28, 2021. The business address is 363 Elvin St, Staten Island, NY 10314-5201. The current status is active.
| Licensee Name | JOSEPH RYAN VENTURA BAUTISTA |
| Credential ID | 2042141 |
| Credential Number | CSP.0073883 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
363 Elvin St Staten Island NY 10314-5201 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-03 |
| Effective Date | 2020-06-03 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-06-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2042017 | 1.065887-DO | Physician/Surgeon | 2020-06-03 | 2020-06-03 - 2020-10-31 | ACTIVE |
| Street Address | 363 ELVIN ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-5201 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Lebowitz | 289 Portage Avenue, Staten Island, NY 10314 | Behavior Analyst | 2020-09-01 ~ 2021-08-31 |
| Dylan L Thompson | Po Box 460, Staten Island, NY 10314 | Registered Nurse | 2020-06-16 ~ 2021-04-30 |
| Soon Aee Yoon | 121 Essex Drive, Staten Island, NY 10314 | Nail Technician | ~ |
| Chih-hsun Hsu | 479 Fanning Street, Staten Island, NY 10314 | Registered Nurse | 2020-05-18 ~ 2021-02-28 |
| Yadell A Supil | 171 Bradley Avenue, Staten Island, NY 10314 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Joan Denise Sullivan | 18 Hawthorne Ave., Staten Island, NY 10314 | Registered Nurse | ~ |
| Silpa M Mathew | 469 Woolley Ave, Staten Island, NY 10314 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michael T Hill | 248 Leonard Avenue, Staten Island, NY 10314 | Pharmacist | 2020-01-28 ~ 2020-01-31 |
| Susie X Yang | 58 Goller Pl, Staten Island, NY 10314 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Jun Ma | 445 Willowbrook Rd, Staten Island, NY 10314 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 10314 | |||
| City | STATEN ISLAND |
| Zip Code | 10314 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STATEN ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Michael Ryan | 5 Comstock Dr, Shrewsbury, MA 01545-5461 | Controlled Substance Registration for Practitioner | ~ |
| Erleine F Bautista | 30 Crosby St Apt 410, Danbury, CT 06810-5163 | Controlled Substance Registration for Practitioner | ~ |
| Leyna Bautista Md | 22 Liberty Ave Apt 2, Somerville, MA 02144 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer P Bautista | 4 Westview Drive, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2010-07-26 ~ 2011-02-28 |
| Alejandro Andres Bautista | 481 Maple Ave, Cheshire, CT 06410-2166 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neil D Ventura | 13 Cartier Rd, Enfield, CT 06082-2546 | Controlled Substance Registration for Practitioner | 2015-07-27 ~ 2017-02-28 |
| Gerard J Ventura Dds | 131 Richmond Ave, West Haven, CT 06516-5248 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ryan S Lee | 31 Bay Dr, Canton, MA 02021-4181 | Controlled Substance Registration for Practitioner | 2020-01-21 ~ 2021-02-28 |
| Ryan R Campbell | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Amy Haydon-ryan Pa | Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JOSEPH RYAN VENTURA BAUTISTA.
| 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).