MARISSA M SMITH (Credential# 508018) 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.
MARISSA M SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043786. 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 443 Wendell Terrace, Syracuse, NY 13203. The current status is active.
| Licensee Name | MARISSA M SMITH |
| Credential ID | 508018 |
| Credential Number | CSP.0043786 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
443 Wendell Terrace Syracuse NY 13203 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-07-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1005990 | 1.050185 | Physician/Surgeon | 2011-08-01 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 443 Wendell Terrace |
| City | Syracuse |
| State | NY |
| Zip Code | 13203 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dale R Morrow | 125 Grumbach Ave, Syracuse, NY 13203 | Crane Operator | 1988-10-01 ~ 1990-09-30 |
| Ali R Nassiri | 401 North State Street, Syracuse, NY 13203 | Controlled Substance Registration for Practitioner | 2013-08-06 ~ 2015-02-28 |
| Janine M Bernard | 106 Hampshire Road, Syracuse, NY 13203 | Marital and Family Therapist | 2010-03-01 ~ 2011-02-28 |
| David A Rebhahn | 1111 James St, Syracuse, NY 13203 | Architect | 2006-08-01 ~ 2007-07-31 |
| Joseph C Maryak | 300 Hawley Ave Apt A1, Syracuse, NY 13203 | Architect | 2006-08-01 ~ 2007-07-31 |
| Wyatt H Nelson | 522 Elm St, Syracuse, NY 13203 | Architect | ~ |
| Jeannine K Donigan | 1210 Oak Street, Syracuse, NY 13203 | Licensed Practical Nurse | 2002-01-25 ~ 2002-03-31 |
| Jean Marie Anice Chavers | 915 James Street, Syracuse, NY 13203 | Licensed Practical Nurse | 2007-07-25 ~ 2008-01-31 |
| Lisa J Tarson | 221 Graves Street, Syracuse, NY 13203 | Licensed Practical Nurse | 2005-11-29 ~ 2006-10-31 |
| James D Douglass | 700 N. Mcbride St, Syracuse, NY 13203 | Asbestos Consultant-inspector | ~ 1999-11-30 |
| Find all Licenses in zip 13203 | |||
| City | Syracuse |
| Zip Code | 13203 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Syracuse |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marissa L Lahaie | 46 Hobbs Rd, Lee, NH 03861 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marissa D Foster | 835 Mix Ave #411, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Marissa L Stankus | 244 Parklawn Dr, Waterbury, CT 06708-2349 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marissa C Bayerl | 374 Grand Ave, New Haven, CT 06513-3733 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marissa Tennant | 365 Montauk Ave, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marissa Van Hennik Pa | 287 S Main St, Wallingford, CT 06492-4602 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marissa M Lavin | 38 Elder St, Milford, CT 06460-6464 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marissa A Novack | 120 Morgan St Apt 401b, Stamford, CT 06905-5438 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marissa De Freese | 29 Hospital Plaza, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Marissa A Schwartz | 44 Oakwood Ave, West Hartford, CT 06119-2175 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARISSA M SMITH.
| 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).