GARTH N GRAHAM (Credential# 1304170) 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.
GARTH N GRAHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061253. 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 365 Montauk Avenue, New London, CT 06320. The current status is active.
| Licensee Name | GARTH N GRAHAM |
| Credential ID | 1304170 |
| Credential Number | CSP.0061253 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
365 Montauk Avenue New London CT 06320 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-08-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1293743 | 1.054554 | Physician/Surgeon | 2015-08-20 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 365 Montauk Avenue |
| City | New London |
| State | CT |
| Zip Code | 06320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph M Brito | 365 Montauk Avenue, New London, CT 06320 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Donald Felitto Md | 365 Montauk Avenue, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karen A Kennedy-richard Aprn | 365 Montauk Avenue, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Lawrence and Memorial Hospital | 365 Montauk Avenue, New London, CT 06320 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | New London |
| Zip Code | 06320 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New London |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jing Guo | 209 Garth Rd Apt 3e, Scarsdale, NY 10583-8003 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Yasir Saleem | 155 Garth Rd, Manchester, CT 06040-5645 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Garth Oliver Md | 603 Savin Ave, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emily Garth | 140 Griswold Dr, West Hartford, CT 06119-1021 | Controlled Substance Registration for Practitioner | 2020-01-10 ~ 2021-02-28 |
| Garth H Ballantyne Md | 1 Sunset Beach Rd, Branford, CT 06405-5046 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Garth C Skoropowski | 9640 13th View Street, Unit A, Norfolk, VA 23503 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Scott C Graham Md | 19 Frontier Rd, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Graham B Garber | 45 Greenwood Ave, Rumford, RI 02916 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Elizabeth Ann L Graham Pa | 260 Willow St, Southport, CT 06890 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Graham M Grabowski | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on GARTH N GRAHAM.
| 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).