MARY JANE DREWA TOWER (Credential# 205506) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARY JANE DREWA TOWER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027737. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 46 Forest Dr, Salem, CT 06420-3724. The current status is active.
Licensee Name | MARY JANE DREWA TOWER |
Credential ID | 205506 |
Credential Number | CSP.0027737 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
46 Forest Dr Salem CT 06420-3724 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-09 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
615872 | 10.E46178 | Registered Nurse | 1983-09-12 | 2019-11-01 - 2020-10-31 | ACTIVE |
680143 | 12.001964 | Advanced Practice Registered Nurse | 1998-11-13 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | 46 FOREST DR |
City | SALEM |
State | CT |
Zip Code | 06420-3724 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tara M Giest | 30 Forest Dr, Salem, CT 06420-3724 | Pharmacy Technician | 2017-02-22 ~ 2018-03-31 |
Joseph J Balavender | 78 Forest Dr, Salem, CT 06420-3724 | Asbestos Abatement Supervisor | 2019-11-01 ~ 2020-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Debra I Delorimiere | 322 Round Hill Road, Salem, CT 06420 | Real Estate Salesperson | ~ |
Darci J Smith | 25 Salem Ridge Drive, Salem, CT 06420 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Pamela Minella | 135 Sullivan Rd., Salem, CT 06420 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
Alfreda Shapere · Bingham | 170 Darling Rd, Salem, CT 06420 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Paul A Pudimat Md | 61 Emerald Glen Lane, Salem, CT 06420 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Thomas J Butcher | 248 Norwich Road, Salem, CT 06420 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Destiny Faye Henkel | 65 Horse Pond Rd, Salem, CT 06420 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-13 |
Kevin R Fennell | 105 Witter Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Scott D Pellerin | 301 Rattlesnake Ledge Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Salem Prime Cuts Inc · John Fusaro Jr | 12 New London Rd, Salem, CT 06420 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06420 |
City | SALEM |
Zip Code | 06420 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SALEM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary Kathryn Herzog Smith | 25 Tower Hill Rd, Clinton, CT 06413-1242 | Controlled Substance Registration for Practitioner | 2019-10-21 ~ 2021-02-28 |
Mary Jane Brackett Md | 45 Litchfield Rd, Watertown, CT 06795-1944 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Mary-jane S Hogan Md | 3 Greystone Farm Lane, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mary Jane Galvin Aprn | 650 Durham Road, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mary Jane Vallee Dds | 80 Kaya Lane, Mansfield Center, CT 06250 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Ruey-jane Jane Wu | 11 South Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Brian W Courtney Dmd | Bushnell Tower, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Diane N Ballerino Md | 675 Tower Ave Suite 406, Hartford, CT 06112 | Controlled Substance Registration for Practitioner | 1994-08-10 ~ 1996-07-01 |
Melissa R Tan Aprn | 675 Tower Avenue, Ste 401, Hartford, CT 06112 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Henry P Cohen | One Century Tower, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).