LARRY LEE MASTERSON (Credential# 1408679) 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.
LARRY LEE MASTERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064875. 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 701 Enfield Street, Enfield, CT 06082. The current status is inactive.
Licensee Name | LARRY LEE MASTERSON |
Credential ID | 1408679 |
Credential Number | CSP.0064875 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
701 Enfield Street Enfield CT 06082 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2017-02-28 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1398772 | 23.003789 | Physician Assistant | 2017-02-22 | 2018-12-01 - 2019-11-30 | INACTIVE |
Street Address | 701 ENFIELD STREET |
City | ENFIELD |
State | CT |
Zip Code | 06082 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Scott M Cato | 701 Enfield Street, Enfield, CT 06082 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
Peter John Drennan | 701 Enfield Street, Enfield, CT 06082 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kaitlin G Pulito | 701 Enfield Street, Enfield, CT 06082 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Kara M Sawyer | 701 Enfield Street, Enfield, MA 06082 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Bruce Meth Md | 701 Enfield Street, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
David Miller Md | 701 Enfield Street, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Rose Marie Coletta-thompson | 701 Enfield Street, Enfield, CT 06082 | Dietitian/nutritionist | 2007-05-21 ~ 2008-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06082 |
City | ENFIELD |
Zip Code | 06082 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ENFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bryan P Masterson | 24 Ironwood Dr, Pennellville, NY 13132-3143 | Controlled Substance Registration for Practitioner | 2011-07-07 ~ 2013-02-28 |
Thomas J Masterson | 12 Case Street, Norwich, CT 06360-2222 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Kelsey A Masterson | 267 Grant Street, Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2019-04-04 ~ 2021-02-28 |
Larry Joe Maturani | P.o. Box 564, Clarion, PA 16214 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Larry Deutsch Md, Mph | 35 Torwood St, Hartford, CT 06114 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Larry Moy Md | 44 Sarles Lane, Pleasantville, NY 10570 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Larry S Wasser | 31 Old Route 7 Ste 1a, Brookfield, CT 06804-1714 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Larry B Mabry | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Larry B Broisman | 300 Kensington Ave, New Britain, CT 06051-3916 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Larry N Scherzer | 282 Washington Street, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).