JOSE D ROSA DO (Credential# 951447) 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.
JOSE D ROSA DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048692. 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 644 Riverside Dr Apt 11d, New York, NY 10031-6931. The current status is active.
| Licensee Name | JOSE D ROSA DO |
| Credential ID | 951447 |
| Credential Number | CSP.0048692 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
644 Riverside Dr Apt 11d New York NY 10031-6931 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-09-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 925343 | 1.049160-DO | Physician/Surgeon | 2010-08-31 | 2019-09-01 - 2020-08-31 | ACTIVE |
| 925339 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 644 RIVERSIDE DR APT 11D |
| City | NEW YORK |
| State | NY |
| Zip Code | 10031-6931 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlin Anne Gallagher | 549a West 149th Street, New York, NY 10031 | Licensed Clinical Social Worker | ~ |
| Billy Emanuel Jones | 458 West 146th Street, New York, NY 10031 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Wilmaris Fernandez | 3r, New York, NY 10031 | Behavior Analyst | ~ |
| Mildred Gonzalez | 448 W. 153rd St. Apt #22, New York, NY 10031 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Charles K Kyei | 700 Riverside Drive, New York, NY 10031 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Patricia A Terry | 604 Riverside Dr., New York, NY 10031 | Tax Preparer/facilitator Permit | 2020-02-26 ~ 2022-02-28 |
| Joshua Paul Branham | 560 West 144th Street, New York, NY 10031 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Anna Larisa Lawyer Sunderland | 513 West 152nd Street, New York, NY 10031 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
| M N Alexa Donaphin | 464 West 144th St, New York, NY 10031 | Architect | 2019-08-01 ~ 2020-07-31 |
| Percy C Griffin | 423 West 144th Street, New York, NY 10031 | Architect | 2017-08-01 ~ 2018-07-31 |
| Find all Licenses in zip 10031 | |||
| City | NEW YORK |
| Zip Code | 10031 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine Rosa | 8 Morningside Ter, Trumbull, CT 06611-3803 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caitlin Almeida | 23 Rosa Lane, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard K Shaw Md | 12 Villa Rosa Ter, Milford, CT 06460-7915 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Rosa E Hyatt | 216 Glenwood Avenue, New London, CT 06320 | Controlled Substance Registration for Practitioner | 1994-09-20 ~ 1996-10-01 |
| Dominik Rosa | 407 River Rd, Saint James, NY 11780-4201 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Rajasreepai Ramachandra Pai | 2405 Dixie Pl, Santa Rosa, CA 95407-6760 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rosa E Hendler Md | 543 Muirfield Lane, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Rosa Rotella Aprn | 8 Phillip Drive, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Rosa Marino Do | 4203 Chevers Dr, Glen Mills, PA 19342-2338 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jose M Mullen Md | Po Box 387, Colchester, CT 06415 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on JOSE D ROSA DO.
| 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).