CLEMENTINE A MAINSAH APRN
Controlled Substance Registration for Practitioner


Address: 2 Miranda Ln, Stratford, CT 06615-5770

CLEMENTINE A MAINSAH APRN (Credential# 534616) 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.

Business Overview

CLEMENTINE A MAINSAH APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045630. 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 2 Miranda Ln, Stratford, CT 06615-5770. The current status is inactive.

Basic Information

Licensee Name CLEMENTINE A MAINSAH APRN
Credential ID 534616
Credential Number CSP.0045630
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2 Miranda Ln
Stratford
CT 06615-5770
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-08-19
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
581322 10.077320 Registered Nurse 2005-12-07 2014-11-01 - 2015-10-31 INACTIVE
892573 12.004155 Advanced Practice Registered Nurse 2009-08-19 2014-11-01 - 2015-10-31 INACTIVE

Office Location

Street Address 2 MIRANDA LN
City STRATFORD
State CT
Zip Code 06615-5770

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Ramneet Miglani 2 Miranda Ln, Stratford, CT 06615 Pharmacy Technician 2020-05-07 ~ 2021-03-31
Tonye Masse 2 Miranda Ln, Stratford, CT 06615-5770 Radiographer 2014-10-01 ~ 2015-09-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Kimberly R Kirklin 13 Miranda Ln # 13, Stratford, CT 06615-5770 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Jema Edwards 33 Miranda Ln, Stratford, CT 06615-5770 Radiographer 2020-03-01 ~ 2021-02-28
Sheryl D Doctor 14 Miranda Ln, Stratford, CT 06615-5770 Registered Nurse 2019-11-01 ~ 2020-10-31
Raul L Sanchez 26 Miranda Ln, Stratford, CT 06615-5770 Hairdresser/cosmetician 2019-09-19 ~ 2020-10-31
Chao Lin 15 Miranda Ln, Stratford, CT 06615-5770 Dietitian/nutritionist 2019-08-01 ~ 2020-07-31
Joseph K Kittah 6 Miranda Ln, Stratford, CT 06615-5770 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Maurice S Hill 17 Miranda Ln, Stratford, CT 06615-5770 Licensed Clinical Social Worker ~
Nana Esi N Kittah 6 Miranda Ln, Stratford, CT 06615-5770 Physician/surgeon 2015-05-01 ~ 2016-04-30

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Sarath Koun 323 Bruce Ave, Stratford, CT 06615 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2022-03-31
Constance Trenske 50 Birdseye Street, #105a, Stratford, CT 06615 Registered Nurse 2020-09-01 ~ 2021-08-31
Jennifer Massey 187 Third Ave, Stratford, CT 06615 Notary Public Appointment 2020-08-01 ~ 2025-07-31
Regina M Golden 295 2nd Ave, Stratford, CT 06615 Real Estate Salesperson 2020-06-25 ~ 2021-05-31
Susan R Leventhal 265 Second Ave, Stratford, CT 06615 Registered Nurse 2020-09-01 ~ 2021-08-31
Danielle M Donfrancesco 90 Sands Pl, Stratford, CT 06615 Esthetician ~
James A Phillips 735 Broad Street, Stratford, CT 06615 Backflow Prevention Device Tester 2020-05-27 ~ 2023-03-31
Debra J Cennamo 155 Short Beach Rd, Stratford, CT 06615 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Melissa Andrea Escobar-avilez [email protected], Stratford, CT 06615 Licensed Practical Nurse ~
Stephanie Gabon 1168 Main Street, C6, Stratford, CT 06615 Licensed Practical Nurse ~
Find all Licenses in zip 06615

Competitor

Search similar business entities

City STRATFORD
Zip Code 06615
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STRATFORD

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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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