MARVIN OMAR GRAHAM (Credential# 1635934) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 13, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARVIN OMAR GRAHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070381. The credential type is controlled substance registration for practitioner. The effective date is March 13, 2019. The expiration date is February 28, 2021. The business address is 365 Montauk Ave, New London, CT 06320-4700. The current status is active.
| Licensee Name | MARVIN OMAR GRAHAM |
| Credential ID | 1635934 |
| Credential Number | CSP.0070381 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
365 Montauk Ave New London CT 06320-4700 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-03-13 |
| Effective Date | 2019-03-13 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-13 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marvin Omar Graham | 6035 Maple Tree Lane, East Lyme, CT 06333 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Street Address | 365 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4700 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy Y Tran | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| David F Reisfeld | 365 Montauk Ave, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicholas Wyatt Miller | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Courtney Elizabeth Peck | 365 Montauk Ave, New London, CT 06320-4700 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Prakash Kandel | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Susan Collemer | 365 Montauk Ave, New London, CT 06320 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Raymond Mark Villalobos | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Seth P Dubin, Pa | 365 Montauk Ave, New London, CT 06320-4700 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lawrence + Memorial Hospital | 365 Montauk Ave, New London, CT 06320-4700 | General Hospital | 2019-04-01 ~ 2021-03-31 |
| Neil Panchal | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2020-03-09 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Omar G El-taliawi Dvm | 75-18 62 St, Glendale, NY 11385 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Omar A Ibrahimi Md | 2 Hampton Rd, Darien, CT 06820-5120 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Omar Eton | 85 Seymour St., Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Omar R Chaudhary | 109 Church St Apt 502, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-04-23 ~ 2011-02-28 |
| Omar R Shakir | 600 W Putnam Ave, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Omar S Buddhu | 79 Retreat Ave, Hartford, CT 06106-2527 | Controlled Substance Registration for Practitioner | 2019-10-15 ~ 2021-02-28 |
| Marvin Den | 40, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Omar I Mufti | 6 Scarlet Lane, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Omar M Young | 1172 Chapel St Apt 23, New Haven, CT 06511-4821 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Omar Hasham | 3061 Huntington Rd, Trumbull, CT 06611-5445 | Controlled Substance Registration for Practitioner | ~ |
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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).