PHILIP M BARASCH (Credential# 152880) 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.
PHILIP M BARASCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010276. 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 99 Hawley Lane, Stratford, CT 06614. The current status is active.
| Licensee Name | PHILIP M BARASCH |
| Credential ID | 152880 |
| Credential Number | CSP.0010276 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
99 Hawley Lane Stratford CT 06614 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544350 | 1.022898 | Physician/Surgeon | 1981-07-14 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 99 Hawley Lane |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yaniv Chen | 99 Hawley Lane, Stratford, CT 06614 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lisa B Webb | 99 Hawley Lane, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence S Beck | 99 Hawley Lane, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cafeteria @ Merritt 8 Corporate Park | 99 Hawley Lane, Stratford, CT 06497 | Operator of Weighing & Measuring Devices | 2002-08-01 ~ 2003-07-31 |
| Richard Erwin Goldstein | 99 Hawley Lane, Stratford, CT 06614 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip Y Wai | 100 Temple St Apt 202, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-28 ~ 2007-02-28 |
| Philip G Ong | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Philip A Frick | Po Box 719, Niantic, CT 06357-0719 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip S Fenster Dds | 93 West St, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Philip A March | 6 Highland Sq, Avon, CT 06001-3309 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Philip A Magid | 70 Cherry St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Philip R Corvo Md | 133 Scoville St Ste 308, Waterbury, CT 06706-1127 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip J Noto | 12 Penrhyn Rd, Woodbridge, CT 06525-1537 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip J Mcwhorter Md | 5 Perryridge Rd., Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip Brunquell | 100 Ladyslipper Ln, Glastonbury, CT 06033-1740 | 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).