REBECCA L EDWARDS (Credential# 234304) 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.
REBECCA L EDWARDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029485. 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 153 Country Club Rd, Middletown, CT 06457-2342. The current status is active.
| Licensee Name | REBECCA L EDWARDS |
| Credential ID | 234304 |
| Credential Number | CSP.0029485 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
153 Country Club Rd Middletown CT 06457-2342 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-04-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 680408 | 12.002230 | Advanced Practice Registered Nurse | 2000-02-07 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 629892 | 10.E61000 | Registered Nurse | 1998-08-28 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 153 COUNTRY CLUB RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-2342 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sal T Sciucco · Sals Home Improvement | 215 Country Club Rd, Middletown, CT 06457-2342 | Home Improvement Contractor | 2019-09-16 ~ 2020-11-30 |
| Michelle Jennifer Hodge | 169 Country Club Rd, Middletown, CT 06457-2342 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Thomas J Sciucco | 215 Country Club Rd, Middletown, CT 06457-2342 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| J D Edwards Dds | 3 Robbins Dr, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 1993-07-16 ~ 1995-08-01 |
| Rachel Ng | 198 Edwards St Apt 4, New Haven, CT 06511-3702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie A Edwards | 109 Cedar Rd Apt A2, Katonah, NY 10536-3423 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacob P Hauptman Pa-c | 244 Edwards St Apt 5, New Haven, CT 06511-3732 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Oldwakemi B Badaki | 240 Edwards St Apt #5, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Gail M O'brien | 181 Edwards St, New Haven, CT 06511-3734 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Adele Damlamian | 186 Edwards St #2r, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Heather S Dobbin Pa | 198 Edwards St Apt 6, New Haven, CT 06511-3702 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Marko Petrovic | 100 Edwards St Apt 3a, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Melissa J. Sundberg | 108 Edwards St., New Haven, CT 06511-1008 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on REBECCA L EDWARDS.
| 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).