DAVID I CAMPBELL MD (Credential# 153239) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
DAVID I CAMPBELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004763. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 22 Apple Way, Madison, CT 06443. The current status is inactive.
| Licensee Name | DAVID I CAMPBELL MD |
| Credential ID | 153239 |
| Credential Number | CSP.0004763 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
22 Apple Way Madison CT 06443 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - RETIRED |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2015-02-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 540602 | 1.013115 | Physician/Surgeon | 1967-08-11 | 2012-05-01 - 2013-04-30 | INACTIVE |
| Street Address | 22 APPLE WAY |
| City | madison |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | madison |
| Zip Code | 06443 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + madison |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan R Campbell | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Keith E Campbell | 415 Killingworth Rd, Higganum, CT 06441 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick T Campbell | 594 Farmington Ave, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Susan E Campbell | 80 Perkins St, Springfield, MA 01118-2044 | Controlled Substance Registration for Practitioner | 2019-10-10 ~ 2021-02-28 |
| Kathleen A Campbell | 68 Woods End Rd, New Canaan, CT 06840-4030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jon P Carlson | 950 Campbell Ave, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2013-03-10 ~ 2015-02-28 |
| Gary Kim | 950 Campbell Ave, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2020-05-28 ~ 2021-02-28 |
| Kirk N Campbell Md | 111 Park St#16a, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Campbell F Bryson | 109 Church St, New Haven, CT 06510-3016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Courtney Ajani Campbell Dvm | P.o. Box 382, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2007-02-28 ~ 2008-02-29 |
Please comment or provide details below to improve the information on DAVID I CAMPBELL MD.
| 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).