CARRIE F THIESSEN (Credential# 951853) 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 INACTIVE.
CARRIE F THIESSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048735. 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 92 Mansfield St, New Haven, CT 06511-3514. The current status is inactive.
Licensee Name | CARRIE F THIESSEN |
Credential ID | 951853 |
Credential Number | CSP.0048735 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
92 Mansfield St New Haven CT 06511-3514 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2010-10-07 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-22 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1492141 | 1.059876-RES | Resident Physician | 2017-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
Street Address | 92 MANSFIELD ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-3514 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew T O'hare | 56 Mansfield St, New Haven, CT 06511-3514 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jasper Han | 46 Mansfield St, New Haven, CT 06511-3514 | Emergency Medical Technician | 2018-09-26 ~ 2021-07-01 |
Derrick G Driver | 46 Mansfield St Fl 1, New Haven, CT 06511-3514 | Hairdresser/cosmetician | 2014-12-01 ~ 2016-11-30 |
Jaime A Hensel | 106 Mansfield St, New Haven, CT 06511-3514 | Registered Nurse | 2013-02-01 ~ 2014-01-31 |
Melissa J Kurtz | 86 Mansfield St, New Haven, CT 06511-3514 | Registered Nurse | 2011-08-01 ~ 2012-07-31 |
Deborah Jean Acker | 76 Mansfield St, New Haven, CT 06511-3514 | Registered Nurse | 1979-05-16 ~ 1983-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carrie C Morrison Md | 3 Brittania Dr, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Carrie Klima Lnm | 147 Willow St Apt #2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Carrie F Spangler | 151 Tremont St Apt 11p, Boston, MA 02111-1110 | Controlled Substance Registration for Practitioner | 2016-04-25 ~ 2017-02-28 |
Carrie A Doherty | 20 E Shore Rd, Ellington, CT 06029-3114 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
Carrie Wong | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Carrie Kim Gomez | 385 Main St S, Southbury, CT 06488-4240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Carrie L Wyskiel | 129 Skokorat St, Seymour, CT 06483-3044 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Carrie Harris Pa | 219 Anderson Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Carrie Gomez | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2013-04-19 ~ 2015-02-28 |
Carrie Schwartz | 993 N Main St, West Hartford, CT 06117-2055 | Controlled Substance Registration for Practitioner | 2019-06-06 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CARRIE F THIESSEN.
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).