KATHARINE TUMAMPOS DECENA (Credential# 947215) 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.
KATHARINE TUMAMPOS DECENA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048459. 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 111 Salem Turnpike, Norwich, CT 06360-2624. The current status is active.
| Licensee Name | KATHARINE TUMAMPOS DECENA |
| Credential ID | 947215 |
| Credential Number | CSP.0048459 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
111 Salem Turnpike Norwich CT 06360-2624 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-08-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1368923 | 1.055689 | Physician/Surgeon | 2016-09-01 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 1429682 | CSP.0065794 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-28 | 2017-06-28 - 2019-02-28 | LAPSED |
| Street Address | 111 Salem Turnpike |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2624 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark N Fiengo Do | 111 Salem Turnpike, Norwich, CT 06360 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| R Douglas Tanksley Jr | 111 Salem Turnpike, Norwich, CT 06360 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Howard W Rogers Md | 111 Salem Turnpike, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher H Sorli Md · William W. Backus Hospital | 111 Salem Turnpike, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Michael S Chua Chiaco | 130 New London Tpke, Norwich, CT 06360-2624 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Leith A Abdulla | 130 New London Tpke, Norwich, CT 06360-2624 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katharine B. Connolly | 1 Crestview Dr, Dallas, PA 18612-9155 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Katharine Jeannette Lee | 977 Farmington Ave, Berlin, CT 06037-2218 | Controlled Substance Registration for Practitioner | 2019-04-17 ~ 2021-02-28 |
| Katharine R Reeve | 365 Mather St Apt 66, Hamden, CT 06514-3128 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Katharine S Cox Md | 250 Arbor Commons Cir Apt 208, Memphis, TN 38120-2696 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Katharine W Meyers | 6 Grant Ave, Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katharine E Sinnett Aprn | 8 Deer Ln, Ledyard, CT 06339-1648 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Katharine N Stephenson | 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382-2518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katharine Jeanne Devin-holcombe | 94 Fairview Park Road, Sturbridge, MA 01566-1003 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
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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).