AMANDA J. UMLANDT OD (Credential# 950614) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
AMANDA J. UMLANDT OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048662. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 28177 Harbor Rd, Melfa, VA 23410-3643. The current status is inactive.
| Licensee Name | AMANDA J. UMLANDT OD |
| Credential ID | 950614 |
| Credential Number | CSP.0048662 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
28177 Harbor Rd Melfa VA 23410-3643 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-09-07 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 933792 | 3.002811 | Optometrist | 2010-07-08 | 2011-10-01 - 2012-09-30 | INACTIVE |
| 933791 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 28177 HARBOR RD |
| City | MELFA |
| State | VA |
| Zip Code | 23410-3643 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen Renee Kelley | 31077 Hickman Lane, Melfa, VA 23410 | Registered Nurse | 2019-03-28 ~ 2020-03-31 |
| Cynthia M Mortrud | 28164 Harbor Rd, Melfa, VA 23410 | Registered Nurse | 2012-11-01 ~ 2013-10-31 |
| Angela L Pruitt | P O Box 555, Malfa, VA 23410 | Hairdresser/cosmetician | 1995-12-08 ~ 1996-12-31 |
| City | MELFA |
| Zip Code | 23410 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MELFA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda N Rea | 195 Broadmere Rd, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda Lu | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
| Amanda H Uva | 6 Chiltern St, Farmington, CT 06032-1533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amanda L Ray | 44 Woodland Park, Hartford, CT 06105-1219 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Amanda M Hill | 55 Lafayette St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Amanda Holmes | 475 Bank St, Waterbury, CT 06708-3501 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Amanda Joy Pinkerton | 63 Chapman St, Newington, CT 06111-1702 | Controlled Substance Registration for Practitioner | 2020-05-26 ~ 2021-02-28 |
| Saadi Alhalbouni | 216 Amanda St Apt B, Russell, KY 41169-1313 | Controlled Substance Registration for Practitioner | ~ |
| Amanda L Wilmot | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-20 ~ 2017-02-28 |
| Amanda N Kallen Md | Po Box 268, Middle Haddam, CT 06456 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on AMANDA J. UMLANDT OD.
| 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).