ROBERT F BLAKE OD (Credential# 51515) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
ROBERT F BLAKE OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024839. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 2165 Dixwell Ave, Hamden, CT 06514. The current status is lapsed.
| Licensee Name | ROBERT F BLAKE OD |
| Credential ID | 51515 |
| Credential Number | CSP.0024839 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2165 Dixwell Ave Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 762533 | 3.000805 | Optometrist | 1975-08-19 | 2017-03-01 - 2018-02-28 | INACTIVE |
| Street Address | 2165 DIXWELL AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brandi C Black | 2165 Dixwell Ave, Hamden, CT 06514 | Notary Public Appointment | 2020-06-23 ~ 2025-06-30 |
| Urgent Care Medical Associates, LLC · Physicianone Urgent Care | 2165 Dixwell Ave, Hamden, CT 06514-2116 | Outpatient Clinic | 2019-06-19 ~ 2022-06-30 |
| Dibella's Subs | 2165 Dixwell Ave, Hamden, CT 06514-2116 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Harvard J Sylvan | 2165 Dixwell Ave, Hamden, CT 06514-2116 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Wartell · Liquor Land | 2165 Dixwell Ave, Hamden, CT 06514-2116 | Package Store Liquor | 2019-08-30 ~ 2020-08-29 |
| Mitul P Patel · Liquor Land | 2165 Dixwell Ave, Hamden, CT 06514-2116 | Package Store Liquor | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Blake Werner | 38 Crown Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Huong T Do | 323 Blake St Apt 64, New Haven, CT 06515-1260 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Juan Garcia Md | 21-a Blake Ave, Clinton, CT 06413 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Jennifer L Salluzzo | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Samirah A Mohammed | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Paul X Fu | 400 Blake St Apt 4120, New Haven, CT 06515-4419 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Harinath Sheela Md | 261 Blake Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Michael B Vollmar | 99 Blake Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Luke M Whalen | 400 Blake St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Leonard Milstone | 94 Blake Rd, Hamden, CT 06517-3402 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ROBERT F BLAKE OD.
| 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).