GINA RUPERT (Credential# 422232) 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.
GINA RUPERT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038568. 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 385 Main St S, Southbury, CT 06488-4240. The current status is active.
Licensee Name | GINA RUPERT |
Credential ID | 422232 |
Credential Number | CSP.0038568 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
385 Main St S Southbury CT 06488-4240 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-11-22 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
743459 | 23.001710 | Physician Assistant | 2005-10-24 | 2020-01-01 - 2020-12-31 | ACTIVE |
841355 | 70.001621 | Emergency Medical Technician | 2001-07-25 | 2003-04-02 - 2005-03-31 | INACTIVE |
Street Address | 385 MAIN ST S |
City | SOUTHBURY |
State | CT |
Zip Code | 06488-4240 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey Hawley Md | 385 Main St S, Southbury, CT 06488-4228 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Thawatchai Boonyalai · Samui Thai Cusine | 385 Main St S, Southbury, CT 06488-4240 | Restaurant Wine & Beer | 2020-03-17 ~ 2021-06-17 |
Michael C Trager | 385 Main St S, Southbury, CT 06488-4240 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Carrie Kim Gomez | 385 Main St S, Southbury, CT 06488-4240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nardelli Grinder Shoppe | 385 Main St S, Southbury, CT 06488-4240 | Operator of Weighing & Measuring Devices | 2019-09-19 ~ 2020-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marci H Lowman | 385 Main St S #404-324, Southbury, CT 06488-4240 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
Km Smoke Shop LLC | 385 Main St S Ste 401a, Southbury, CT 06488-4240 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
Anna M Reis · Premier Wine and Spirits | 385 Main St S Ste 402, Southbury, CT 06488-4240 | Package Store Liquor | ~ |
Km Smoke Shop | 385 Main St S Ste 401a, Southbury, CT 06488-4240 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2020-02-29 ~ 2021-02-28 |
Eric Koestner | 220 Main St S, Southbury, CT 06488-4240 | Behavior Analyst | 2020-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06488 |
City | SOUTHBURY |
Zip Code | 06488 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gina M Reitmeyer | 11 Sarah Dr, Oxford, CT 06478 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gina Siddiqui | 86 Foster St # 2, New Haven, CT 06511-2609 | Controlled Substance Registration for Practitioner | 2019-07-24 ~ 2021-02-28 |
Gina M Merritt Do | 47 Schwink Dr, Meriden, CT 06450-6900 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Gina A Choiniere | 30 Audette Dr, Wallingford, CT 06492-3960 | Controlled Substance Registration for Practitioner | 2019-09-06 ~ 2021-02-28 |
Gina C Badescu | 13 Nash St, New Haven, CT 06511-2615 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Gina Morgenstein | 177 S Main St, Wallingford, CT 06492-4203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gina L. Williams Md | 100 Mistuxet Ave, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Gina M. Iacovella Md | 230 Cook Rd, Prospect, CT 06712-1823 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Gina M Lockwood | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-05-20 ~ 2017-02-28 |
Gina M Hayden | 1 Bradley Street, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 1997-03-04 ~ 1997-02-28 |
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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).