LENA WU RIVAS (Credential# 887844) 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.
LENA WU RIVAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046063. 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 687 Campbell Avenue, West Haven, CT 06516-3774. The current status is active.
Licensee Name | LENA WU RIVAS |
Credential ID | 887844 |
Credential Number | CSP.0046063 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
687 Campbell Avenue West Haven CT 06516-3774 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2009-10-21 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1067596 | 1.051228 | Physician/Surgeon | 2012-07-23 | 2019-08-01 - 2020-07-31 | ACTIVE |
1117466 | CSP.0053500 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-09-14 | 2012-09-14 - 2013-02-28 | INACTIVE |
Street Address | 687 CAMPBELL AVENUE |
City | WEST HAVEN |
State | CT |
Zip Code | 06516-3774 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Horatiu C Balas | 687 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Minori Korn | 687 Campbell Ave, West Haven, CT 06516-3774 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Anuruddha Walaliyadda | 687 Campbell Ave, West Haven, CT 06516-3774 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Joseph A. Balsamo | 687 Campbell Ave, West Haven, CT 06516-3774 | Controlled Substance Registration for Practitioner | 2019-06-19 ~ 2021-02-28 |
Benedict Fernando Md | 687 Campbell Ave, West Haven, CT 06516-3774 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06516 |
City | WEST HAVEN |
Zip Code | 06516 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sadhis Rivas Md | 100 Grand St, New Britain, CT 06052-2016 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Diego E Rivas Dds | 910 Boston Post Rd, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Shelly Rivas | 9716 103rd St, Ozone Park, NY 11416-2627 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
Lissette M Rivas Siracusa | 3 Pell Mell Drive, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lena F Krause | 210-220 Park St #408, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Lena M O'keefe | 361 Bell St, Glastonbury, CT 06033-1726 | Controlled Substance Registration for Practitioner | 2017-05-31 ~ 2019-02-28 |
Christopher J Lena | 289 Giants Neck Rd, Niantic, CT 06357-2225 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Richard Lena Md | 101 Hotchkiss Grove Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Lena Q Mullally | 5 Constitution Plaza, Apt 609, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Adolfo Rivas · Rivas Fencing | 678 Atlantic St #3, Stamford, CT 06902 | Home Improvement Contractor | 2008-05-28 ~ 2008-11-30 |
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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).