EDMOND YABUT MD (Credential# 161069) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 7, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.
EDMOND YABUT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022366. The credential type is controlled substance registration for practitioner. The effective date is March 7, 2000. The expiration date is February 28, 2001. The business address is 200 Buffalo Run, Goodlettsville, TN 37072. The current status is inactive.
Licensee Name | EDMOND YABUT MD |
Credential ID | 161069 |
Credential Number | CSP.0022366 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
200 Buffalo Run Goodlettsville TN 37072 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2000-03-07 |
Expiration Date | 2001-02-28 |
Refresh Date | 2009-01-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
551472 | 1.033873 | Physician/Surgeon | 1994-07-01 | 1996-05-31 - 1997-05-31 | INACTIVE |
Street Address | 200 BUFFALO RUN |
City | GOODLETTSVILLE |
State | TN |
Zip Code | 37072 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melanie Gibbs Mayfield | 203 Glenwood Drive, Goodlettsville, TN 37072 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Helena May Royser | 1202 Virginia Ave, Goodlettsville, TN 37072 | Registered Nurse | ~ |
Millicent Ashlyn Nelms | 1911 Graceland Drive, Goodlettsville, TN 37072 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Chad L Calendine | 3024 Business Park Circle, Goodlettsville, TN 37072 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Todd M Talmadge | 1249 Twelve Stones Clossing, Goodlettsville, TN 37072 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Kevin Clay Murphy | 160 Brookview Cir, Goodlettsville, TN 37072 | Certified Public Accountant License | 2007-01-01 ~ 2007-12-31 |
Paula Kavanagh | 175 Hinkle La., Goodlettsville, TN 37072 | Dental Hygienist | 2010-03-01 ~ 2011-02-28 |
Joanne M Cohen | 714 Windsor Green Blvd, Goodlettsville, TN 37072 | Registered Nurse | 2009-05-08 ~ 2010-04-30 |
Harry Martin | Williamson Place, Goodletsville, TN 37072 | Architect | 2001-08-01 ~ 2002-07-31 |
Cynthia F Johnpier · Williams | 208 Roscoe St, Goodlettsville, TN 37072 | Registered Nurse | 2004-09-14 ~ 2005-09-30 |
Find all Licenses in zip 37072 |
City | GOODLETTSVILLE |
Zip Code | 37072 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GOODLETTSVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jevin Yabut | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
Edmond Beqiri | 340 Rimmon Rd, Woodbridge, CT 06525-1329 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Christine A Matarese | 3333 Clock Tower Cir, Edmond, OK 73034-3498 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Edmond M Cronin | 179 Quaker Lane North, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
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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).