CARLA M PRUDEN (Credential# 937900) 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.
CARLA M PRUDEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047863. 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 78 Cider Mill Rd, Ellington, CT 06029-3401. The current status is active.
| Licensee Name | CARLA M PRUDEN |
| Credential ID | 937900 |
| Credential Number | CSP.0047863 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
78 Cider Mill Rd Ellington CT 06029-3401 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-08-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 934590 | 1.049101 | Physician/Surgeon | 2010-08-12 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 78 CIDER MILL RD |
| City | ELLINGTON |
| State | CT |
| Zip Code | 06029-3401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kris A Boland | 42 Cider Mill Rd, Ellington, CT 06029-3401 | Radiographer | 2017-11-20 ~ 2018-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Houlihan | 42 Crane Road, Ellington, CT 06029 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Christine E Powers | 94 Abbott Road, Ellington, CT 06029 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathryn R Walker | 3 Maplewood Dr, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Megan Elizabeth Knowling | 40 Ellridge Pl, Ellington, CT 06029 | Emergency Medical Technician | ~ |
| Elizabeth J Rhoads | 18 Crystal Ridge Dr., Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy S Nicolescu | 21 Lake Street, Ellington, CT 06029 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Emily Albertson | 155 Windermere Ave #3005, Ellington, CT 06029 | Registered Nurse | ~ |
| Meghan Laughlan | 3 Crystal Ball Ct, Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly A Havener | 187 Mountain Street, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol G Aborn | 21 Upper Butcher Rd., Ellington, CT 06029 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06029 | |||
| City | ELLINGTON |
| Zip Code | 06029 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ELLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carla Sawan | 65 Dwight St Apt 76, New Haven, CT 06511-5352 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Carla J Kelly Do | 195 Danbury Rd, Wilton, CT 06897-4075 | Controlled Substance Registration for Practitioner | 2008-05-22 ~ 2009-02-28 |
| Carla Ann Paredes | 120 Woodlake Dr, Holland, PA 18966-5403 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carla J Christy Md | 152 Templ St Apt 408, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Carla Casulo Md | 64 Robbins St, Waterbury, CT 06721 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Carla Acra | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
| Carla W Potter | 139 Warren Ter, Longmeadow, MA 01106-1366 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2017-02-28 |
| Carla G Bruning | 2 Mystic Court, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Carla Emmanuelle Prophete | 35 Smart St, Waltham, MA 02451-2157 | Controlled Substance Registration for Practitioner | 2020-03-26 ~ 2021-02-28 |
| Carla Wilhelmina Schnitzlein | 11 Dog Hill Rd, Dayville, CT 06241 | Controlled Substance Registration for Practitioner | 2020-05-20 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CARLA M PRUDEN.
| 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).