WANDA F PUCKETT DDS (Credential# 245267) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
WANDA F PUCKETT DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030274. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 65 Old Rte 79 #1, Madison, CT 06443. The current status is inactive.
| Licensee Name | WANDA F PUCKETT DDS |
| Credential ID | 245267 |
| Credential Number | CSP.0030274 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
65 Old Rte 79 #1 Madison CT 06443 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703198 | 2.008746 | Dentist | 2000-05-25 | 2014-09-01 - 2015-08-31 | INACTIVE |
| Street Address | 65 OLD RTE 79 #1 |
| City | MADISON |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanda N Noguera-irizarry Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Wanda W Zhao Pa-c | 40 Prospect Ave Apt 1-1e, Norwalk, CT 06850-3741 | Controlled Substance Registration for Practitioner | 2008-06-16 ~ 2009-02-28 |
| Wanda Bronstein | 109 Bayberry Rd, Glastonbury, CT 06033-1750 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wanda R Moody Md | 15 Quail Ridge, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Wanda J Lanzone Hannigan | 51 Barnswallow Dr, Trumbull, CT 06611-2554 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wanda M Kirejczyk Md | 101 North Plains Ind. Road, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wanda Merced | 515 Middle Tuenpike West, Manchester, CT 06040-6546 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wanda Tidhar Md | 7481 Falls Rd West, Boynton Beach, FL 33437 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Puckett's Branch Rye Whiskey | CT | Liquor Brand Label | 2020-03-25 ~ 2023-03-24 |
| 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 |
Please comment or provide details below to improve the information on WANDA F PUCKETT DDS.
| 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).