RICHARD M LIBUTTI CRNA
Controlled Substance Registration for Practitioner


Address: 22 Hawthorne Ave., Rye Brook, NY 10573

RICHARD M LIBUTTI CRNA (Credential# 488486) 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.

Business Overview

RICHARD M LIBUTTI CRNA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042867. 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 22 Hawthorne Ave., Rye Brook, NY 10573. The current status is active.

Basic Information

Licensee Name RICHARD M LIBUTTI CRNA
Credential ID 488486
Credential Number CSP.0042867
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 22 Hawthorne Ave.
Rye Brook
NY 10573
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-11-23
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-15

Other licenses

ID Credential Code Credential Type Issue Term Status
586018 10.082016 Registered Nurse 2007-06-18 2020-02-01 - 2021-01-31 ACTIVE
681796 12.003618 Advanced Practice Registered Nurse 2007-06-18 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 22 Hawthorne Ave.
City Rye Brook
State NY
Zip Code 10573

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Juliana C Alzate 140 Grace Church St, Port Chester, NY 10573 Landscape Architect 2020-08-01 ~ 2021-07-31
Editha M Comia 480 King St, Port Chester, NY 10573 Registered Nurse 2020-07-01 ~ 2021-06-30
Cheryl P Lopez 14 Fawcett Street, Port Chester, NY 10573 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Madeline X Cole-short 40 Quintard Dr., Port Chester, NY 10573 Emergency Medical Responder ~
Helene A Kimmons 9 Burdsall Drive, Port Chester, NY 10573 Registered Nurse 2020-09-01 ~ 2021-08-31
Leukemia & Lymphoma Society Inc 3 International Drive, Rye Brook, NY 10573 Public Charity 2020-06-01 ~ 2021-05-31
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Competitor

Search similar business entities

City Rye Brook
Zip Code 10573
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Rye Brook

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Dataset Information

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).

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