MICHELLE P DURHAM (Credential# 1085602) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 13, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
MICHELLE P DURHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053361. The credential type is controlled substance registration for practitioner. The effective date is March 13, 2013. The expiration date is February 28, 2015. The business address is 230 S Frontage Rd, New Haven, CT 06519-1124. The current status is inactive.
| Licensee Name | MICHELLE P DURHAM |
| Credential ID | 1085602 |
| Credential Number | CSP.0053361 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
230 S Frontage Rd New Haven CT 06519-1124 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-08-21 |
| Effective Date | 2013-03-13 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1076085 | 1.051152 | Physician/Surgeon | 2012-07-02 | 2013-08-01 - 2014-07-31 | INACTIVE |
| Street Address | 230 S FRONTAGE RD |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1124 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frances G Javier | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2018-06-12 ~ 2024-06-30 |
| Linda Beth Drozdowicz | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Hyun Hee Kim | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Kammarauche Asuzu | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Youngsun T Cho | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2017-07-11 ~ 2021-06-30 |
| Leisel S Martin-brown | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Eunice Yuen | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Emily Hunt Olfson | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kartik Pattabiraman | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jose Manuel Paez | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nina S Livingston Md | Po Box 266, Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mario F Perez Md | Po Box 266, Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah L Curtis | 115 Oak Ter, Durham, CT 06422-1507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jenna M Little | 32 Woodland Dr, Durham, CT 06422-1512 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Edward W Akeyson Md | Po Box 189, Durham, CT 06422-0189 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Marianne Wudarsky | 33 E Woods Trl, Durham, CT 06422-3052 | Controlled Substance Registration for Practitioner | 2019-04-23 ~ 2021-02-28 |
| Nathan L Grimm | 8 Intuition Cir, Durham, NC 27705-2881 | Controlled Substance Registration for Practitioner | 2019-04-18 ~ 2021-02-28 |
| Leon A Goldstein Md | 141 Durham Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph R Bourassa | 79 Wildwood Cir # R, Durham, CT 06422-2605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William J Witkowski Dmd | 360 Main St, Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MICHELLE P DURHAM.
| 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).