INGRAM ROBERTS MD (Credential# 164385) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
INGRAM ROBERTS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023240. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is St Vincents Medical Center, Bridgeport, CT 06606. The current status is inactive.
| Licensee Name | INGRAM ROBERTS MD |
| Credential ID | 164385 |
| Credential Number | CSP.0023240 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
St Vincents Medical Center Bridgeport CT 06606 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-04-12 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552107 | 1.034511 | Physician/Surgeon | 1995-05-26 | 2010-12-01 - 2011-11-30 | INACTIVE |
| Street Address | ST VINCENTS MEDICAL CENTER |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah T Akanya | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Harpreet A Sawhney | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Soumya P Thumma | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Salsabila Mouiz | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sonali Gupta | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jite T Wanogho | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Iradat A Amusa | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adewale O Odofin | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pratibha Phuyal | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie V Teixeira | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cassandra R Young | 41 Ingram St, Hamden, CT 06517-1835 | Controlled Substance Registration for Practitioner | 2018-04-12 ~ 2019-02-28 |
| Christopher M Ingram Md | 306 W 137th St, New York, NY 10030-2409 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer A Ingram Dvm | 843 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Daniel A Young | 41 Ingram St, Hamden, CT 06517-1835 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Neil D Romberg Md | 51 Ingram Street, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Brooke Ingram Tsao Md | 9 Newgate Court, Durham, NC 27713 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Ian C Roberts | 306 Monticello Dr, Branford, CT 06405-4183 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Catherine Roberts | 55 Lock St., New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elyssa L Roberts | 27 Visconti Ave, Torrington, CT 06790-3331 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leslie K Mosley Lnm | 9 Roberts St, Malden, MA 02148 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Please comment or provide details below to improve the information on INGRAM ROBERTS 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).