MARY E GRAHAM (Credential# 159988) 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.
MARY E GRAHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020301. 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 72a Long Pond Rd S, Ledyard, CT 06339. The current status is active.
Licensee Name | MARY E GRAHAM |
Credential ID | 159988 |
Credential Number | CSP.0020301 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
72a Long Pond Rd S Ledyard CT 06339 |
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 | 2019-02-15 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
771939 | 47.002263 | Veterinarian | 1992-07-13 | 2019-10-01 - 2020-09-30 | ACTIVE |
639706 | 10.R34226 | Registered Nurse | 1981-04-29 | 2010-10-01 - 2011-09-30 | INACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary E Graham | 16 Reed Lane, Westbury, NY 11590 | Registered Nurse | 2009-11-01 ~ 2010-10-31 |
Street Address | 72A LONG POND RD S |
City | LEDYARD |
State | CT |
Zip Code | 06339 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert G Graham | 72a Long Pond Rd S, Ledyard, CT 06339 | Physician/surgeon | 2008-06-13 ~ 2009-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Silvia Yadira Werbowsky | 35 Highland Dr, Ledyard, CT 06339 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-13 |
Lani M Tan | 46 Highland Dr, Ledyard, CT 06339 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Mary T Evans · Cirritto | 17 M Lakeside Drive, Ledyard, CT 06339 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mary E Warwick | 62 Church Hill Road, Ledyard, CT 06339 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Steven E. Colebut | 11 White Pine Rd., Ledyard, CT 06339 | Water Treatment Plant Operator - Class I | 2020-04-01 ~ 2023-03-31 |
Matthew W Carmack | 22 Homestead Road Apt D, Ledyard, CT 06339 | Emergency Medical Technician | 2017-11-14 ~ 2020-06-30 |
Karen B Odonnell | 31 Iron St, Ledyard, CT 06339 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Holdridge Farm Nursery Inc | 749 Col Ledyard Hwy, Ledyard, CT 06339 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Kayla Lindsey | 1 Reuven Drive, Ledyard, CT 06339 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
Karen M King · Wade | 6 Hillcrest Ave, Ledyard, CT 06339 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06339 |
City | LEDYARD |
Zip Code | 06339 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEDYARD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary L Graham Aprn | 1443 New London Tpke, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Scott C Graham Md | 19 Frontier Rd, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Timur T Graham Md | 24 Park Dr Apt 25f, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2009-06-22 ~ 2011-02-28 |
Graham M Grabowski | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Meghan Graham | 106 Captains Way, Philadelphia, PA 19146 | Controlled Substance Registration for Practitioner | 2020-04-29 ~ 2021-02-28 |
Elizabeth Ann L Graham Pa | 260 Willow St, Southport, CT 06890 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Graham B Garber | 45 Greenwood Ave, Rumford, RI 02916 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Renee Graham | 718 Cook Hill Rd, Danielson, CT 06239-1525 | Controlled Substance Registration for Practitioner | 2019-08-14 ~ 2021-02-28 |
Marvin Omar Graham | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2019-03-13 ~ 2021-02-28 |
Garth N Graham | 365 Montauk Avenue, New London, CT 06320 | 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).