JOHN SMALL MD (Credential# 148565) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
JOHN SMALL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0001257. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 7365 Main Street, Stratford, CT 06497. The current status is inactive.
| Licensee Name | JOHN SMALL MD |
| Credential ID | 148565 |
| Credential Number | CSP.0001257 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7365 Main Street Stratford CT 06497 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 539151 | 1.008379 | Physician/Surgeon | 1956-11-19 | 1996-11-05 - 1997-11-30 | INACTIVE |
| Street Address | 7365 MAIN STREET |
| City | STRATFORD |
| State | CT |
| Zip Code | 06497 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John A Harkins · Harkins Appraisal Service Inc | 7365 Main Street, Stratford, CT 06614 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Eun Eui Jo | 7365 Main Street, Stratford, CT 06614 | Hairdresser/cosmetician | 2019-01-01 ~ 2020-12-31 |
| Oronoque Pharmacy | 7365 Main Street, Stratford, CT 06614 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Theresa M Christmas | 7365 Main Street, Stratford, CT 06614 | Hairdresser/cosmetician | 2013-09-01 ~ 2015-08-31 |
| Yong J Park | 7365 Main Street, Stratford, CT 06614 | Physician/surgeon | 2008-07-28 ~ 2009-08-31 |
| Main Street Deli | 7365 Main Street, Stratford, CT 06497 | Operator of Weighing & Measuring Devices | 2008-08-01 ~ 2009-07-31 |
| Joseph S Dibartolomeo · Grill House | 7365 Main Street, Stratford, CT 06614 | Restaurant Liquor | 2006-07-23 ~ 2007-07-22 |
| Stratford Floor Center | 7365 Main Street, Stratford, CT 06614 | Home Improvement Contractor | 2000-12-20 ~ 2001-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stratford Exxon | 2820 Main St, Stratford, CT 06497 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Stratford Ems | Lordship Station, Stratford, CT 06497 | Certified Ems Organization | 2020-07-01 ~ 2021-06-30 |
| Buzzs Paradise Green Getty · Joelor Enterprises Inc | 4039 Main Street, Stratford, CT 06497 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Deborah S Mackbach | 1412 Main St, Stratford, CT 06497 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Janis G Mcguire | 75 Landon St, Stratford, CT 06497 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Barbara E Gagnon | 55 Elizabeth Terrace, Stratford, CT 06497 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| George Derbaly · House of Spirits (the) | 564 Honeyspot Rd, Stratford, CT 06497 | Package Store Liquor | 2020-06-13 ~ 2021-06-12 |
| Richard P Brown | 6375 Main St, Stratford, CT 06497 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Andrea G Januski | 77 Yale Street, Stratford, CT 06497 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Oronoque Golf Country Club | 385 Oronoque Lane, Stratford, CT 06497 | Golf Country Club Liquor | 2019-09-27 ~ 2021-01-26 |
| Find all Licenses in zip 06497 | |||
| City | STRATFORD |
| Zip Code | 06497 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Small | 220 North Central Ave, Hartsdale, NY 10530 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Susan Small | 252 Trumbull Highway, Lebanon, CT 06249 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aeron Small | 20 York Street, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey D Small | 1900 Fence Row Drive, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin H Small | 50 Rolling Hill Lane, Old Westbury, NY 11568 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maria Small Md | Yale Unversity School Medicine, New Haven, CT 06520-8063 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| William S Pfaffmann · Small Smiles Dental Center of Hartford | 62 Autumn Ln, Middletown, CT 06457-4787 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John K John Md | 706f Doctors Drive, Kinston, NC 28501 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| John N Utz | 197 Norwich-new, Uncasville, CT 06382 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John W Mah Md | 80 Seymour St, Hartford, CT 06102 | 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).