DIANE P ANNIBALINI (Credential# 906933) 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.
DIANE P ANNIBALINI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047039. 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 0-6 St. Marc Circle, South Windsor, CT 06074. The current status is active.
| Licensee Name | DIANE P ANNIBALINI |
| Credential ID | 906933 |
| Credential Number | CSP.0047039 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
0-6 St. Marc Circle South Windsor CT 06074 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-12-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 892277 | 23.002348 | Physician Assistant | 2009-11-05 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 892284 | 23.0-TEMP | Physician Assistant Temporary Permit | 2009-08-24 | 2009-08-24 - 2009-12-22 | INACTIVE |
| Street Address | 0-6 ST. MARC CIRCLE |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane Kim | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane E Gawronski Dmd | 14 Westbrook Rd, Centerbrook, CT 06409 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane D Timms Do | 216 Wilderness Way, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Diane Goodwin Pa-c | 5 Brookhills Rd, Branford, CT 06405-2815 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Diane M Petroski | 44 Campfield Rd, Manchester, CT 06040-5715 | Controlled Substance Registration for Practitioner | 2011-02-15 ~ 2013-02-28 |
| Diane C Iacovelli | 15 Glendale Pl, Branford, CT 06405-4816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane M Reali Marini Md | 5 Doe Run, Coventry, RI 02816-4712 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Diane Paggioli | 63 Clinton St, Newport, RI 02840-3906 | Controlled Substance Registration for Practitioner | 2017-02-28 ~ 2019-02-28 |
| Diane Mericnyak | 6 Jan's Court, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane L Batza | 522 Aberdeen St, Carmel, IN 46032 | Controlled Substance Registration for Practitioner | ~ |
Please comment or provide details below to improve the information on DIANE P ANNIBALINI.
| 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).