TODD A SPOCK (Credential# 1230018) 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.
TODD A SPOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057507. 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 129 York St Apt 4d, New Haven, CT 06511-5605. The current status is inactive.
| Licensee Name | TODD A SPOCK |
| Credential ID | 1230018 |
| Credential Number | CSP.0057507 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
129 York St Apt 4d New Haven CT 06511-5605 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2014-06-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1492111 | 1.059846-RES | Resident Physician | 2017-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 129 YORK ST APT 4D |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marez Megalla | 129 York St Apt 5k, New Haven, CT 06511-5605 | Controlled Substance Registration for Practitioner | 2020-06-24 ~ 2021-02-28 |
| Eujin Yeo | 129 York St Apt 5b, New Haven, CT 06511-5605 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Martin Joseph Carney | 129 York St Apt 3n, New Haven, CT 06511-5605 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Susan Linda Giampalmo | 129 York St Apt 4k, New Haven, CT 06511-5605 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Sloane Elizabeth Heller | 129 York St Apt 4o, New Haven, CT 06511-5605 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Steven Astafiev | 129 York St Apt 5f, New Haven, CT 06511-5605 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Gabriel E Weingart | 129 York St Apt 5l, New Haven, CT 06511-5605 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Eric Lawrence Soriano | 129 York St Apt 4a, New Haven, CT 06511-5605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole M Pavlik | 129 York St Apt 4h, New Haven, CT 06511-5605 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Fahad Syed Hassan | 129 York St Apt 4b, New Haven, CT 06511-5605 | Resident Physician | 2015-06-25 ~ 2019-06-30 |
| Find all Licenses in zip 06511-5605 | |||
| 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 |
|---|---|---|---|
| Todd J. Ochsner Do | 19 Brainard Rd, Niantic, CT 06357-1722 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Todd Samter | 100 Grand St, New Britain, CT 06052-2016 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Todd M Blue Md | 4 Vaccinium Way, Old Lyme, CT 06371 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Todd Parrilla Do | 20 S Anguilla Rd Ste 12, Pawcatuck, CT 06379-1447 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Michelene Todd | 250 Scuppo Rd, Woodbury, CT 06798-3822 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Todd J Dalberg | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| David P Todd Od | 565 W 2nd St Unit 1, Pomona, CA 91766-1511 | Controlled Substance Registration for Practitioner | 2013-03-09 ~ 2015-02-28 |
| Todd Cassese Md | 30 Sherwood Dr, Larchmont, NY 10538 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
| Todd P Beery | 11 Evergreen Trl, Farmington, CT 06032-2142 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Todd A. Lefkowitz Md | 20 Salem Rd, Woodbridge, CT 06525-2624 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on TODD A SPOCK.
| 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).