MALLORY IVERSON (Credential# 2051093) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license status is PENDING.
MALLORY IVERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074302. The credential type is controlled substance registration for practitioner. The business address is 192 E Center St, Manchester, CT 06040-5210. The current status is pending.
| Licensee Name | MALLORY IVERSON |
| Credential ID | 2051093 |
| Credential Number | CSP.0074302 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
192 E Center St Manchester CT 06040-5210 |
| Business Type | INDIVIDUAL |
| Status | PENDING - NEW APPLICATION REVIEW REQUIRED |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2049740 | 23 | Physician Assistant | - | PENDING |
| Street Address | 192 E CENTER ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5210 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tri-county Alliance of Realtors | 186 E Center St, Manchester, CT 06040-5210 | Real Estate Continuing Education Provider | 2017-03-22 ~ |
| Realty Executives East of The River | 178 E Center St, Manchester, CT 06040-5210 | Real Estate Broker | 2015-04-01 ~ 2016-02-19 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Lee Mallory | 141 Way Rd, Salem, CT 06420-3716 | Controlled Substance Registration for Practitioner | 2019-07-03 ~ 2021-02-28 |
| Mallory Logsdon | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mallory M Przybylski | 150 Front St, New Haven, CT 06513-3929 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mallory Grosso | 515 West Ave Apt Ph38, Norwalk, CT 06850-4047 | Controlled Substance Registration for Practitioner | 2019-01-23 ~ 2021-02-28 |
| Mallory S Breitmaier | 32 Farm Gate Rd, Colchester, CT 06415-2622 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph Farah | 64 Mallory Road, Roxbury, CT 06783 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Raburn Mallory Md | 41 Barrett Street, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2002-03-11 ~ 2003-02-28 |
| Mallory M Macdonald Aprn | 43 Pillsbury Hill, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Robert Mallory · Robert Mallory-builders | 70 Town Hill Rd, New Hartford, CT 06057 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
Please comment or provide details below to improve the information on MALLORY IVERSON.
| 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).