MICHAEL W COSTA OD (Credential# 527460) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
MICHAEL W COSTA OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045236. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 198 Hope St, Waterbury, CT 06704-3236. The current status is inactive.
| Licensee Name | MICHAEL W COSTA OD |
| Credential ID | 527460 |
| Credential Number | CSP.0045236 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
198 Hope St Waterbury CT 06704-3236 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-03-13 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 762643 | 3.000981 | Optometrist | 1982-10-05 | 2014-09-01 - 2015-08-31 | INACTIVE |
| Street Address | 198 HOPE ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06704-3236 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eduardo Romero | 939 Cooke St, Waterbury, CT 06704 | Family Child Care Substitute | 2020-07-01 ~ 2022-06-30 |
| Regina A Field | 263 Boyden Street, Waterbury, CT 06704 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Nicole L Moreno | 85 Rose St. 3rd Fl, Waterbury, CT 06704 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tamira Latrese Abney | 123 Mark Lane Unit 6, Waterbury, CT 06704 | Emergency Medical Technician | ~ |
| Sarita A Smith | 19 Shagbark Rd, Waterbury, CT 06704 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kayode A Akande | 22 Sorrel Road, Waterbury, CT 06704 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Alaia's Market | 874 No Main St, Waterbury, CT 06704 | Non Legend Drug Permit | 2020-06-25 ~ 2020-12-31 |
| Prathon Battle Jr | 108 Laurie Place, Waterbury, CT 06704 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Waterbury Islamic Cultural Center Inc | 140 Homer St Ste. A, Waterbury, CT 06704 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Nivana M Douglas | 131 Dwight St, Waterbury, CT 06704 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06704 | |||
| City | WATERBURY |
| Zip Code | 06704 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard R Renaud | 6488 Costa Cir, Naples, FL 34113-1700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maria Manuela Da Costa | 836 Farmington Ave Ste 102, West Hartford, CT 06119-1544 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alisa Lyudmila Da Costa-rodrigues | 201 Simsbury Rd, West Hartford, CT 06117-1450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joao Miguel Serigado Soares Da Costa | 140east 46th Street; Apt# 4c, New York, NY 10017 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael K Hwang Dmd | Michael K Hwang, Dmd, LLC, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael X Lee | 64 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michael Ring Md | Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Michael J Lee Md | 1 Cooper Plz, Camden, NJ 08103-1461 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Michael D Stangler | Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MICHAEL W COSTA 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).