SOPHIA A SHIRLEY APRN (Credential# 502020) 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.
SOPHIA A SHIRLEY APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043484. 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 150 Southwood Ter, Southbury, CT 06488-1840. The current status is active.
| Licensee Name | SOPHIA A SHIRLEY APRN |
| Credential ID | 502020 |
| Credential Number | CSP.0043484 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
150 Southwood Ter Southbury CT 06488-1840 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-05-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 681948 | 12.003770 | Advanced Practice Registered Nurse | 2008-03-26 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 580846 | 10.076844 | Registered Nurse | 2005-09-22 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 150 SOUTHWOOD TER |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-1840 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Casey B Foster | 68 Southwood Ter, Southbury, CT 06488-1840 | Emergency Medical Technician | 2011-07-13 ~ 2014-04-01 |
| 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 |
|---|---|---|---|
| Shirley M Perry Aprn | 753 Crescent Ave, Buffalo, NY 14216-3417 | Controlled Substance Registration for Practitioner | 2009-06-22 ~ 2011-02-28 |
| Shirley Ross-irwin Aprn | 7 Eastwood Rd, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Sophia Kiciuk | 11 Yale Pl, Armonk, NY 10504-2424 | Controlled Substance Registration for Practitioner | 2016-09-03 ~ 2017-02-28 |
| Sophia Elissa Altin | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sophia Dominique Delpe | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-09 ~ 2019-02-28 |
| Sophia Wang | 1 Primrose Ln, East Brunswick, NJ 08816-5512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sophia D Delpe | 400 Blake St Apt 4105, New Haven, CT 06515-4418 | Controlled Substance Registration for Practitioner | 2013-04-12 ~ 2015-02-28 |
| Sophia Gee O'donnell Md | 17 Marion Street, East Greenwich, RI 02818 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Taylor Sophia Edwards | 21652 Johnstone Dr, Lake Forest, CA 92630-6560 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
| Sophia D Beason-brown Dds | 2595 Albany Avenue, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-08 ~ 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).