DAVID I BLOOM JR (Credential# 151754) 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.
DAVID I BLOOM JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003925. 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 1060 Day Hill Road, Windsor, CT 06095. The current status is active.
| Licensee Name | DAVID I BLOOM JR |
| Credential ID | 151754 |
| Credential Number | CSP.0003925 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1060 Day Hill Road Windsor CT 06095 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-04-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 700788 | 2.005026 | Dentist | 1976-07-17 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 1060 DAY HILL ROAD |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory A Farber | 1060 Day Hill Road, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
| Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
| Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06095 | |||
| City | WINDSOR |
| Zip Code | 06095 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David I Bloom Md | 2 Bridge Lane, Enfield, CT 06083 | Controlled Substance Registration for Practitioner | ~ |
| Justin R. Bloom | Po Box 806, East Windsor, CT 06088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory S Bloom Md | 112 Quarry Rd Ste 400, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Todd E Bloom | 760 Kings Hwy W, Southport, CT 06890-1107 | Controlled Substance Registration for Practitioner | 2019-04-01 ~ 2021-02-28 |
| Peter E Bloom Jr | 25 Newell Rd Ste E36, Bristol, CT 06010-5132 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey N Bloom Md | 3020 Westchester Ave Ste 402, Purchase, NY 10577 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Maxine Bloom | 14 Bauer Place, Westport, CT 06880-2138 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Katherine A Bloom | 55 Walls Drive, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David F Lee Dds | 521 3rd Ave Apt 2, New York, NY 10016-4747 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David Cone Md | 58 Middletown Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2003-07-02 ~ 2004-02-28 |
Please comment or provide details below to improve the information on DAVID I BLOOM JR.
| 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).