MATTHEW L HALL (Credential# 1052447) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MATTHEW L HALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050661-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1 Royce Circle, Storrs, CT 06268. The current status is active.
| Licensee Name | MATTHEW L HALL |
| Credential ID | 1052447 |
| Credential Number | 1.050661-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
1 Royce Circle Storrs CT 06268 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-03-01 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1057377 | CSP.0052161 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-03-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew L Hall | 19 Jordan Street, New Britain, CT 06053 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Street Address | 1 Royce Circle |
| City | Storrs |
| State | CT |
| Zip Code | 06268 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn O Nettleton | 1 Royce Circle, Storrs, CT 06268 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Pamela A Moore Md | 1 Royce Circle, Storrs, CT 06268 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jillian P Aruda | 1 Royce Circle, Storrs, CT 06269 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | Storrs |
| Zip Code | 06268 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Storrs |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew C Yates | 122 Sailboat Lane, Union Hall, VA 24176 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| Arturo Aguillon Md | 69 Hall Rd, Sturbridge, MA 01566 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Martin I Hall | 752 Hill St, Bristol, CT 06010 | Physician/surgeon | 1993-12-07 ~ 1994-12-31 |
| Edward G Hall | 2 Lagoon Ln, Haverstraw, NY 10927-2101 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stavan Patel | 30 S Hall Ct, Parsippany, NJ 07054 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Wiley R Hall | 55 Lake Ave N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert A Lanzi | 64 Hall Dr, Orange, CT 06477 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Iqbal H Dhanani | 2-11 Maplewood Hall, Valhalla, NY 10595 | Physician/surgeon | ~ 1995-04-30 |
| Haywood Hall | 220 N Zapata Hwy # 228a, Laredo, TX 78043-4427 | Physician/surgeon | 2016-06-01 ~ 2017-06-30 |
| Sandy S Nath | 185 Hall Street, Brooklyn, NY 11205 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Please comment or provide details below to improve the information on MATTHEW L HALL.
| 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).