MICHAEL W MARTIN MD (Credential# 147842) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
MICHAEL W MARTIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000126. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 1504 Sullivan Ave, S Windsor, CT 06074. The current status is inactive.
| Licensee Name | MICHAEL W MARTIN MD |
| Credential ID | 147842 |
| Credential Number | CSP.0000126 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1504 Sullivan Ave S Windsor CT 06074 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542663 | 1.018083 | Physician/Surgeon | 1976-07-22 | 2015-08-01 - 2016-07-31 | INACTIVE |
| Street Address | 1504 SULLIVAN AVE |
| City | S WINDSOR |
| State | CT |
| Zip Code | 06074 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
| Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06074 | |||
| City | S WINDSOR |
| Zip Code | 06074 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + S WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martin Ucanda | 39 Michael Rd Apt E, New London, CT 06320-2423 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martin H Zase Dmd | 79-a Norwich Ave, Colchester, CT 06415 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martin Hall Md | 752 Hill St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1993-09-21 ~ 1995-10-01 |
| Martin J Frank | 280 Montauk Ave, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Victor Martin Md | 16 Dales Dr, Woodbridge, CT 06525-2014 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martin M Pressman | 109 N Racebrook Rd, Woodbridge, CT 06525-1407 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles Martin IIi | 477 George St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-10-05 ~ 2011-02-28 |
| Susanne Pk Martin | 19 Oak Ridge Rd, Branford, CT 06405-4621 | Controlled Substance Registration for Practitioner | 2011-03-25 ~ 2013-02-28 |
| Martin H Gad | 784 East Main St, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martin D Arkin Od | 148 East Ave, Norwalk, CT 06851 | 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).