JUSTIN BEUTHIN (Credential# 1657536) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 21, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JUSTIN BEUTHIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070988. The credential type is controlled substance registration for practitioner. The effective date is May 21, 2019. The expiration date is February 28, 2021. The business address is 63 Woodrow St, West Hartford, CT 06107-2724. The current status is active.
| Licensee Name | JUSTIN BEUTHIN |
| Credential ID | 1657536 |
| Credential Number | CSP.0070988 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
63 Woodrow St West Hartford CT 06107-2724 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-21 |
| Effective Date | 2019-05-21 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1659149 | 1.063457-RES | Resident Physician | 2019-07-01 | 2019-07-01 - 2020-06-30 | ACTIVE |
| 1631662 | 1 | Physician/Surgeon | - | EXPIRED APPLICATION |
| Street Address | 63 WOODROW ST |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2724 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon M Waluk · Grant | 41 Woodrow St, West Hartford, CT 06107-2724 | Massage Therapist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin A Cross Md | Po Box 362, Kedrsavge, NH 03847 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Justin J Cohen | 835 Mix Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-09-10 ~ 2006-02-28 |
| Justin R. Bloom | Po Box 806, East Windsor, CT 06088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin D Blasberg | 330 Cedar St, New Haven, CT 06510-3218 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin E Mackey Md | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Justin O Schechter | 22 Fifth Street, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Justin C Ngene Md | 106 W Seeboth St, Milwaukee, WI 53204 | Controlled Substance Registration for Practitioner | 2015-03-06 ~ 2017-02-28 |
| Justin M Cohen | 3 White Dr, Cedarhurst, NY 11516-2607 | Controlled Substance Registration for Practitioner | 2019-07-08 ~ 2021-02-28 |
| Justin D Cheesman | 1839 6th St. Nw, Washington D.c., DC 20001 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Justin B Dessereaux | 15 Townwoods Rd, Ivoryton, CT 06442 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).