DOUGLAS MILLER MD (Credential# 1597230) 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.
DOUGLAS MILLER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069462. 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 455 Lewis Ave Ste 200, Meriden, CT 06451-2121. The current status is active.
| Licensee Name | DOUGLAS MILLER MD |
| Business Name | INTERNAL MEDCINE ASSOCIATES, P.C. |
| Credential ID | 1597230 |
| Credential Number | CSP.0069462 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
455 Lewis Ave Ste 200 Meriden CT 06451-2121 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-11-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-05-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155727 | CSP.0016286 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 547462 | 1.028917 | Physician/Surgeon | 1988-03-25 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1597188 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 455 LEWIS AVE STE 200 |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rafal Barczak | 455 Lewis Ave Ste 208, Meriden, CT 06451-2121 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Housein M Wazaz | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| David M Sack | 455 Lewis Ave Ste 106, Meriden, CT 06451-2121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jean Wong Md | 455 Lewis Ave Ste 210, Meriden, CT 06451-2121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Roopkiranjot K Kahlon | 455 Lewis Ave Ste 214, Meriden, CT 06451-2121 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Laurence Nair Md | 455 Lewis Ave Ste 206, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth C Riordan Md | 435 Lewis Ave, Suite 104, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohammad A Sharif | 455 Lewis Avenue, Suite 214, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas S Jung | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Madhavi Bhoomagoud | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06451-2121 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert L. Torres | 309 Brownstone Ridge, Meriden, CT 06451 | Crane Operator | 2018-06-29 ~ 2020-06-28 |
| Lourdes Castro | 25 Lanoutte Steet, Meriden, CT 06451 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-11 ~ 2022-02-28 |
| Brittney Hilliard | 44 Eddy Avenue, Meriden, CT 06451 | Master's Level Social Worker | ~ |
| Super Laundry Mat | 311 West Main St, Meriden, CT 06451 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sarah C Matteson | 18 Steuben St, Meriden, CT 06451 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Valerie Mari Dejesus | 36c Kiki Drive, Meriden, CT 06451 | Hairdresser/cosmetician | ~ |
| Tiffaney A Williams | 158 Byron Road, Meriden, CT 06451 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Meriden Oil Co | 30 Knob Hill Rd, South Meriden, CT 06451 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amal Abouchacra · Sam's Market | 167 Lewis Avenue, Meriden, CT 06451 | Grocery Beer | 2020-07-31 ~ 2021-07-30 |
| Carmen J Vazquez | 173 Fourth St, Meriden, CT 06451 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 06451 | |||
| City | MERIDEN |
| Zip Code | 06451 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MERIDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Norry Lan Md · Internal Medicine Associates P C | Va Outpatient Clinic, French Camp, CA 95231 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Irving Shiffman Md · Internal Medicine Associates, P.C. | 3 Iron Forge, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| John Zesk Md · Internal Medicine Associates, P.C. | Cardiology Assoc of Central Ct LLC, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Harold Wilkes Md · Internal Medicine Associates, P.C. | Cardiology Assoc of Central Ct LLC, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Karen Stone Earls | Internal Medicine Associates of Westport, P.C., Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| John P Hayslett Md · Yale Dept of Internal Medicine | Yale Dept of Internal Medicine, New Haven, CT 06520-8029 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Seth R Miller Md · Greenwich Orthopedics Associates | Orthopaedic & Neurosurgery Specialists, PC, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard A Dougherty | Internal Medicine, Groton, CT 06349 | Controlled Substance Registration for Practitioner | 1993-11-15 ~ 1995-06-01 |
| Xianjin Yi Md | Department of Internal Medicine, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Guru Trikudanathan | Internal Medicine, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-03-19 ~ 2013-02-28 |
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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).