BRADFORD K MITCHELL MD (Credential# 164141) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1996. The license expiration date date is February 28, 1997. The license status is INACTIVE.
BRADFORD K MITCHELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023155. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1996. The expiration date is February 28, 1997. The business address is 799 W Main St, W Haven, CT 06516-4829. The current status is inactive.
| Licensee Name | BRADFORD K MITCHELL MD |
| Credential ID | 164141 |
| Credential Number | CSP.0023155 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
799 W Main St W Haven CT 06516-4829 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1996-03-01 |
| Expiration Date | 1997-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550721 | 1.033122 | Physician/Surgeon | 1993-07-09 | 1995-11-22 - 1996-11-30 | INACTIVE |
| Street Address | 799 W MAIN ST |
| City | W HAVEN |
| State | CT |
| Zip Code | 06516-4829 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria Doris M Tortal | 759 W Main St, West Haven, CT 06516-4829 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Alain Ray Asuelo Tortal | 759 W Main St, West Haven, CT 06516-4829 | Licensed Practical Nurse | 2016-02-01 ~ 2017-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | W HAVEN |
| Zip Code | 06516 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + W HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bradford J Harding Md | Po Box 82, Cornwall, CT 06753-0082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min-hee A Cho Dmd | 97 Bradford Walk, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Dae Kyu Hwang | 19 Bradford Walk, Farmington, CT 06032-4530 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bradford W Noll Md | 58 Hathaway Ave, Beverly, MA 01915 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Bradford W Wilkinson | 267 Cartwright Rd, Wellesley, MA 02482 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bradford A Newman Od | 38 Tunxis Ave, Bloomfield, CT 06002-2034 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather M Bradford | 17 Sterling St Fl 2, Hartford, CT 06112-2354 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jin Ha Joung Dmd | 97 Bradford Walk, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Anumeha Singh | 45 Bradford Walk, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bradford T Tinloy | 2061 16th Ave, San Francisco, CA 94116-1239 | Controlled Substance Registration for Practitioner | 2015-01-01 ~ 2017-02-28 |
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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).