ROBERT I SACK (Credential# 901992) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 13, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
ROBERT I SACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046922. The credential type is controlled substance registration for practitioner. The effective date is November 13, 2009. The expiration date is February 28, 2011. The business address is 5410 Avenue Simone, Lutz, FL 33558-2828. The current status is inactive.
Licensee Name | ROBERT I SACK |
Credential ID | 901992 |
Credential Number | CSP.0046922 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
5410 Avenue Simone Lutz FL 33558-2828 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2009-11-13 |
Effective Date | 2009-11-13 |
Expiration Date | 2011-02-28 |
Refresh Date | 2013-03-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
545995 | 1.026398 | Physician/Surgeon | 1985-06-04 | 2009-10-15 - 2010-02-28 | INACTIVE |
Street Address | 5410 AVENUE SIMONE |
City | LUTZ |
State | FL |
Zip Code | 33558-2828 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Timothy M Davis | 1830 Nature View Drive, Lutz, FL 33558 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Richard M Meyerson | 19226 Garden Quilt Cir, Lutz, FL 33558 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Raya Nasim | 3959 Van Dyke Road #236, Lutz, FL 33558 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Paul P Piro | 5206 Zachini Court, Lutz, FL 33558 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
David A Roberts | 19479 Leonard Rd, Tampa, FL 33558 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Theresa R Boains | 5409 Avenue Simone, Lutz, FL 33558 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Thomas J Euley II | 18725 Birchwood Grove, Lutz, FL 33558 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Natalia Eden | 17436 Fountainside Loop, Lutz, FL 33558 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Christopher G Prentiss | 19218 Fishermans Bend Drive, Lutz, FL 33558 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Tracey E Smithey | 18806 Rue Loire, Lutz, FL 33558 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Find all Licenses in zip 33558 |
City | LUTZ |
Zip Code | 33558 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LUTZ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jordan S Sack | 360 State St Apt 2506, New Haven, CT 06510-3625 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Robert F Maier | 9 Robert Street, Somers, CT 06071 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Robert C. Piela | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 | |
Robert W Slauch | Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert J Jacobs | 100 Rte 37, New Fairfield, CT 06812 | Controlled Substance Registration for Practitioner | 2019-02-04 ~ 2019-02-28 |
Robert L Fair Vmd | 208 Rte 81, Killingworth, CT 06419 | Controlled Substance Registration for Practitioner | 2019-04-26 ~ 2021-02-28 |
Robert Qiu | 76 Ship Ave Apt 3, Medford, MA 02155 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert D Lew | 101 Village Dr Apt 508, Wethersfield, CT 06109-4635 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Robert L Cieri Jr | Po Box 685, Georgetown, CT 06829-0685 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert Strange Pa | P.o. Box 847, Wellfleet, MA 02667-0847 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).