GUY L FISH MD (Credential# 158365) 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.
GUY L FISH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019880. 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 St. Mary's Hospital, Waterbury, CT 06702. The current status is inactive.
| Licensee Name | GUY L FISH MD |
| Credential ID | 158365 |
| Credential Number | CSP.0019880 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
St. Mary's Hospital Waterbury CT 06702 |
| 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 |
|---|---|---|---|---|---|
| 549711 | 1.032069 | Physician/Surgeon | 1992-01-31 | 1992-12-22 - 1993-12-31 | INACTIVE |
| Street Address | ST. MARY'S HOSPITAL |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elissa Lopez | 148 Grand St., Waterbury, CT 06702 | Medication Administration Certification | ~ |
| Gray-robinson · 7-eleven 27640l | 355 W. Main Street, Waterbury, CT 06702 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | ~ |
| Genessis Drywall LLC | 19 21 Summer St, Waterbury, CT 06702 | Home Improvement Contractor | 2020-06-11 ~ 2020-11-30 |
| Shawna M Walker | 119 Cherry Street, Waterbury, CT 06702 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Eden Antenor | 70 Bank St., Waterbury, CT 06702 | Medication Administration Certification | 2020-03-02 ~ 2022-03-01 |
| Carlos Jimenez-evangelista | 18 Walnut St., Waterbury, CT 06702 | Medication Administration Certification | 2020-06-23 ~ 2022-06-22 |
| Forrest S Scott | 236 Grand St., Waterbury, CT 06702 | Emergency Medical Technician | 2017-03-09 ~ 2020-03-31 |
| Jhonny R Tapia | 299 East Main St, Watertbury, CT 06702 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| San Marino Restaurant | 111-23 Thomaston Ave, Waterbury, CT 06702 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Amis Hot Bagels LLC | 111 Thomaston Ave, Waterbury, CT 06702 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06702 | |||
| City | WATERBURY |
| Zip Code | 06702 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel N Fish | 60 Old New Milford Rd, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bernard G Fish | 67 Sand Pit Rd Ste 204, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Cheryl W Anderson | 700 Fish Rock Rd, Southbury, CT 06488-4149 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert H Fish | 945 Main Street, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Scott T Schmidt Md | 949 Fish Hill Rd, Coventry, RI 02816-4715 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rima Parikh | 2750 Fish Ave Fl 2, Bronx, NY 10469-5519 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Joshua J Fish | 86 Cosey Beach Ave, East Haven, CT 06512-4924 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| William D Johns Md | 336 Fish Rock Road, Southbury, CT 06488-2125 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Svetlana Fish | 2161 East 72 Street, Brooklyn, NY 11234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jamey L Burris-fish | 11820 Sw Bruce Dr, Beaverton, OR 97008-8587 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on GUY L FISH 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).