DUANE EBAUGH MD (Credential# 163660) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 10, 1995. The license expiration date date is February 28, 1996. The license status is INACTIVE.
DUANE EBAUGH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023037. The credential type is controlled substance registration for practitioner. The effective date is April 10, 1995. The expiration date is February 28, 1996. The business address is 1703 West Main St, Willimantic, CT 06226. The current status is inactive.
| Licensee Name | DUANE EBAUGH MD |
| Credential ID | 163660 |
| Credential Number | CSP.0023037 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1703 West Main St Willimantic CT 06226 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1995-04-10 |
| Expiration Date | 1996-02-28 |
| Refresh Date | 2005-12-15 |
| Street Address | 1703 WEST MAIN ST |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vasiliko Liapes · Mamas Pizza | 277 Ash Street, Willimantic, CT 06226 | Restaurant Wine & Beer | 2020-04-28 ~ 2021-08-27 |
| Janet G Ragno | 46 Fairview Street, Willimantic, CT 06226 | Nursing Home Administrator | 2020-08-01 ~ 2022-07-31 |
| Tim Devivo | 1590 W Main St, Willimantic, CT 06226 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Antonio Manuel Santos | 661 Windham Rd, Windham, CT 06226 | Tattoo Technician | 2020-06-25 ~ 2022-06-30 |
| Rent A Center East Inc · Rent A Center #05068 | 1329 Main Street, Willimantic, CT 06226 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-06-25 ~ 2021-04-30 |
| Shaunda Baker | 90 South Street, Willimantic, CT 06226 | Medication Administration Certification | 2020-07-12 ~ 2022-07-11 |
| Willimantic Shell | 1563 West Main St, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth A Bailey | 152 Main St, Willimantic, CT 06226 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Royal Buffet | 1228 Main St, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Builders Concrete East LLC · Windham Sand & Stone Inc | 75 N Windham Rd, Willimantic, CT 06226 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06226 | |||
| City | WILLIMANTIC |
| Zip Code | 06226 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILLIMANTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Duane Bryan Md | 81 Orange St Apt 403, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2001-03-08 ~ 2002-02-28 |
| Duane W Ebaugh | 1703 West Main St., Willimantic, CT 06226 | Physician/surgeon | ~ 1995-06-30 |
| Duane M Moise Do | 12604 149th Ave, South Ozone Park, NY 11420-3719 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| 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 |
| Duane A Dobosh · Duane A Dobosh Const Co | 48 Merwin Brook Rd, Brookfield Ctr, CT 06804 | Home Improvement Contractor | ~ 1995-06-01 |
| Duane Hillis & Company · Duane F Hillis | 499 Winchester St, Newton Highland, MA 02161 | Real Estate Broker | 1997-06-01 ~ 1998-05-31 |
| Duane W Horan Jr · Duane W Horan Jr Drywall | 54 Castle Drive, Stratford, CT 06614 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Duane Belle · Duane Belle Roofing | 62 Prescott St, Bridgeport, CT 06605 | Home Improvement Contractor | ~ 1995-07-01 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on DUANE EBAUGH 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).