ROBERT H BIRCHENOUGH MD (Credential# 155887) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 14, 1995. The license expiration date date is February 28, 1996. The license status is INACTIVE.
ROBERT H BIRCHENOUGH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015388. The credential type is controlled substance registration for practitioner. The effective date is June 14, 1995. The expiration date is February 28, 1996. The business address is Department of Radiology, Willimantic, CT 06226. The current status is inactive.
| Licensee Name | ROBERT H BIRCHENOUGH MD |
| Business Name | WINDHAM COMMUNITY HOSPITAL |
| Credential ID | 155887 |
| Credential Number | CSP.0015388 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Department of Radiology Willimantic CT 06226 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1995-06-14 |
| Expiration Date | 1996-02-28 |
| Refresh Date | 2004-04-23 |
| Street Address | DEPARTMENT OF RADIOLOGY |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vasiliko Liapes · Mamas Pizza | 277 Ash Street, Willimantic, CT 06226 | Restaurant Wine & Beer | 2020-04-28 ~ 2021-08-27 |
| Janet G Ragno | 46 Fairview Street, Willimantic, CT 06226 | Nursing Home Administrator | 2020-08-01 ~ 2022-07-31 |
| Tim Devivo | 1590 W Main St, Willimantic, CT 06226 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Antonio Manuel Santos | 661 Windham Rd, Windham, CT 06226 | Tattoo Technician | 2020-06-25 ~ 2022-06-30 |
| Rent A Center East Inc · Rent A Center #05068 | 1329 Main Street, Willimantic, CT 06226 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-06-25 ~ 2021-04-30 |
| Shaunda Baker | 90 South Street, Willimantic, CT 06226 | Medication Administration Certification | 2020-07-12 ~ 2022-07-11 |
| Willimantic Shell | 1563 West Main St, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth A Bailey | 152 Main St, Willimantic, CT 06226 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Royal Buffet | 1228 Main St, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Builders Concrete East LLC · Windham Sand & Stone Inc | 75 N Windham Rd, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06226 | |||
| City | WILLIMANTIC |
| Zip Code | 06226 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILLIMANTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Windham Community Memorial Hospital | 112 Mansfield Ave, Willimantic, CT 06226 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Nancy L Schrader Md · Windham Community Memorial Hospital | 112 Mansfield Avenue, Willimantic, CT 06226 | Controlled Substance Registration for Practitioner | 1995-06-29 ~ 1996-02-28 |
| Windham Community Mem. Hospital | 112 Mansfield Ave, Willimantic, CT 06226-2045 | Certified Ems Organization | 2019-10-01 ~ 2020-09-30 |
| Robert Douglas Forsten | Keller Army Community Hospital, West Point, NY 10996 | Controlled Substance Registration for Practitioner | 2020-03-27 ~ 2021-02-28 |
| Windham Community Memorial Hospital, Inc. and Hatch Hospital Corporation · Windham Community Memorial Hospital, Inc. | 112 Mansfield Ave, Willimantic, CT 06226-2045 | General Hospital | 2019-10-01 ~ 2021-09-30 |
| David L Cowger Md | Windham Hospital, Willimantic, CT 06226 | Controlled Substance Registration for Practitioner | 1994-09-20 ~ 1996-08-01 |
| Stanley J Stutz | Windham Hospital, Willimantic, CT 06226 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David L Simon | Windham Hospital, Willimantic, CT 06226 | Controlled Substance Registration for Practitioner | 1993-01-12 ~ 1995-02-01 |
| Eziuche M Nwakanma | Windham Hospital, Willimantic, CT 06226 | Controlled Substance Registration for Practitioner | 2011-11-30 ~ 2013-02-28 |
| Wendell C Jones Md | Windham Comm Hospital Emer Rm Dept, Willimantic, CT 06226 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
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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).