MARCY A CARRERA PA (Credential# 354558) 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.
MARCY A CARRERA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034310. 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 50 South Woods Drive, Southington, CT 06489. The current status is active.
| Licensee Name | MARCY A CARRERA PA |
| Credential ID | 354558 |
| Credential Number | CSP.0034310 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
50 South Woods Drive Southington CT 06489 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-11-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743162 | 23.001413 | Physician Assistant | 2003-10-21 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 839847 | 70.000110 | Emergency Medical Technician | 2000-02-23 | 2001-11-26 - 2003-09-30 | INACTIVE |
| Street Address | 50 SOUTH WOODS DRIVE |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Perliveh M Carrera | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jorge Carrera | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | Controlled Substance Registration for Practitioner | 2016-08-27 ~ 2017-02-28 |
| Marcy Dillon | 110 Lisbon Dr, Fairfield, CT 06825-2640 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marcy A Calsetta | 7 Garland Dr, Glastonbury, CT 06033-1251 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marcy A Cheifetz Md | 615 Reef Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Marcy Ann Mcintosh | 193 Herrick Rd, Riverside, IL 60546-2045 | Controlled Substance Registration for Practitioner | 2019-09-20 ~ 2021-02-28 |
| Marcy Carty | 76 Center St Fl 3, Waterbury, CT 06702-2129 | Controlled Substance Registration for Practitioner | 2019-01-25 ~ 2021-02-28 |
| Michelle C Marcy | 121 Central Avenue, Hamden, CT 06517-1810 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Marcy L Goldstein Md | Hospital for Special Care / Pulm Med, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pedro Carrera Lopez · Carrera Carpentry | 12 Stillwater Pl # 3fl, Stamford, CT 06902-4823 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
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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).