ROBYN E PEMBERTON MD (Credential# 372279) 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.
ROBYN E PEMBERTON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035008. 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 27 Hiilliard Street, Manchester, CT 06042-1651. The current status is active.
| Licensee Name | ROBYN E PEMBERTON MD |
| Credential ID | 372279 |
| Credential Number | CSP.0035008 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
27 Hiilliard Street Manchester CT 06042-1651 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-07-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560203 | 1.042621 | Physician/Surgeon | 2004-07-06 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 27 HIILLIARD STREET |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-1651 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine Lankford | 853 Tolland Tpke, Manchester, CT 06042-1651 | Licensed Practical Nurse | 2013-06-01 ~ 2014-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer K Pemberton | 413 Creekside Dr, Richardson, TX 75081 | Controlled Substance Registration for Practitioner | 2016-04-15 ~ 2017-02-28 |
| Gamal Mostafa | 3725 W Pemberton Rd, Bloomfield Hills, MI 48302-1446 | Controlled Substance Registration for Practitioner | 2019-12-05 ~ 2021-02-28 |
| Jamie L Robyn | 41 Foote St, Hamden, CT 06517-2602 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robyn Martin | 98 Andrews Rd, Marlborough, MA 01752-1359 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robyn A Gray | 1 Wardrobe Rd, Hanover, NH 03755 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robyn Robinson Md | 216 Bishop St Apt #112, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Robyn Ozovek Lnm | 16 Mcnamara Ln, Goshen, NY 10924-6105 | Controlled Substance Registration for Practitioner | 2011-11-01 ~ 2013-02-28 |
| Robyn Wojeck | 47 Main St, Old Mystic, CT 06372-7700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robyn G. Matloff | 21 Cavalry Road, Weston, CT 06883 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robyn A Hoffman Aprn | 163 Plumtrees Rd., Bethel, CT 06801-1009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).