CARLOS MEDINA (Credential# 1396917) 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.
CARLOS MEDINA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064540. 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 282 Washington St, Hartford, CT 06106-3322. The current status is active.
| Licensee Name | CARLOS MEDINA |
| Credential ID | 1396917 |
| Credential Number | CSP.0064540 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
282 Washington St Hartford CT 06106-3322 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-01-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557729 | 1.040146 | Physician/Surgeon | 2002-02-07 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 450802 | CSP.0040673 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-12-14 | 2006-12-14 - 2007-02-28 | INACTIVE |
| 317971 | CSP.0032497 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos Medina | 42 Clinton St Apt 1, Meriden, CT 06450 | Home Improvement Contractor | 2006-03-01 ~ 2006-11-30 |
| Carlos Medina | 466 Columbia Street, #1d, Brooklyn, NY 11231 | Asbestos Abatement Worker | 2011-01-01 ~ 2012-12-31 |
| Carlos Medina · C & C Grocery | 47 Willow St, Waterbury, CT 06710 | Grocery Beer | 2008-06-15 ~ 2009-06-14 |
| Carlos Medina · Omar Pisco Sour | 1084 Madison Ave, Bridgeport, CT 06606-4625 | Restaurant Liquor | 2016-01-21 ~ 2017-01-08 |
| Carlos Medina · Quisquella Grocery | 69 Lounsbury Ave, Waterbury, CT 06706-1418 | Grocery Beer | 2010-12-07 ~ 2011-12-06 |
| Carlos Medina · West Main Deli Market | 178 W Main St, Waterbury, CT 06702-1216 | Grocery Beer | 2020-03-26 ~ 2021-03-25 |
| Street Address | 282 WASHINGTON ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3322 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chelsea A Lepus | 282 Washington St, Hartford, CT 06106-3322 | Resident Physician | 2016-06-28 ~ 2022-06-30 |
| Shilpa Guntaka | 282 Washington St, Hartford, CT 06106-3322 | Resident Physician | 2016-06-28 ~ 2022-06-30 |
| Connecticut Children's Medical Center | 282 Washington St, Hartford, CT 06106-3322 | Children's Hospital | 2020-01-01 ~ 2021-12-31 |
| Caroline Debenedictis | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Logan Jerger | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Skurkis Md | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| James E Moore | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Glenn Flores | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sarah Jessica Florence | 282 Washington St, Hartford, CT 06106-3322 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Anne Griffin Dudley | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John M Norko | 282 Washington St Suite 5b, Hartford, CT 06106-3322 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jennifer Leslie Knod | 282 Washington St Ste 1h, Hartford, CT 06106-3322 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Olga H Toro-salazar | 282 Washington St # 2b, Hartford, CT 06106-3322 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Katalin M Ross | 282 Washington St # 816, Hartford, CT 06106-3322 | Dietitian/nutritionist | 2019-12-01 ~ 2020-11-30 |
| Lawrence Zemel | 282 Washington St Dept Rheumatology, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek Y. Obayashi | 282 Washington St Ste 2b, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nehal S Parikh | 282 Washington St Ste 5a, Hartford, CT 06106-3322 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Tingting Huang | 282 Washington St, 4h, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Raina Sinha | 282 Washington St # 2b, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2020-01-02 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bernardo Medina Md | 1185 Main St, Willimantic, CT 06226-2093 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sol Lissette Rodriguez Medina | 349 Riversville Rd, Greenwich, CT 06831-3229 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
| Justine M Mrosak | 4516 Medina Lake Dr, Hamel, MN 55340-9375 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nubia-paola Forero-medina | 500 Mill St Apt 7, Southington, CT 06489-4740 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Sherilyn K Medina Aprn | 1137 N Central Ave Apt 102, Glendale, CA 91202-3666 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Carlos A Barba Md | 11 South Rd Ste 130, Farmington, CT 06032-2410 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carlos Rivera | 24 Hospital Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2009-09-02 ~ 2011-02-28 |
| Carlos S. Degollado | 20 Hillside Ave, Unionville, CT 06085-1052 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carlos A Henriquez | 188 Park St Fl 1, Hartford, CT 06106-2525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carlos A Mancilla | 679 Delaware Ave, Delmar, NY 12054-2417 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CARLOS MEDINA.
| 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).