STEPHEN A WYATT DO (Credential# 178836) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
STEPHEN A WYATT DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024604. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is Middlesex Hospital, Middletown, CT 06457. The current status is inactive.
| Licensee Name | STEPHEN A WYATT DO |
| Business Name | COMMUNITY MENTAL HEALTH CTR |
| Credential ID | 178836 |
| Credential Number | CSP.0024604 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Middlesex Hospital Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| Street Address | MIDDLESEX HOSPITAL |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barry J Pearson | Middlesex Hospital, Middletown, CT 06457 | Physician/surgeon | 2011-05-01 ~ 2012-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Mental Health Affiliates Inc. · Community Mental Health Affiliates, Inc. | 1890 Dixwell Avenue, Hamden, CT 06514 | Substance Abuse | 2009-07-01 ~ 2011-06-30 |
| Community Mental Health Affiliates, Inc. | 100 Commercial Blvd, Torrington, CT 06790-3098 | Substance Abuse | 2019-07-01 ~ 2021-06-30 |
| Community Mental Health Affiliates Inc. · Community Mental Health Affiliates, Inc. | 757 Farmington Avenue, New Britain, CT 06052 | Substance Abuse | 2000-12-04 ~ 2002-12-31 |
| Community Mental Health Affiliates Inc. · Community Mental Health Affiliates, Inc. | 26 Russell Street, New Britain, CT 06052 | Substance Abuse | 2013-01-01 ~ 2014-12-31 |
| Community Mental Health Affiliates | 350 Main St, Lakeville, CT 06039-1207 | Substance Abuse | 2014-01-01 ~ 2015-12-31 |
| Community Mental Health Affiliates Inc. · Community Mental Health Affiliates, Inc. | 5 Hart St, New Britain, CT 06052-1701 | Substance Abuse | 2019-01-01 ~ 2020-12-31 |
| Community Mental Health Affiliates Inc. · Northwest Center for Family Service and Mental Health, Inc. | 120 Park Lane Road, New Milford, CT 06776 | Psychiatric Outpatient Clinic | 2009-02-02 ~ 2012-12-31 |
| Community Mental Health Affiliates Inc. · Northwest Center for Family Service and Mental Health | 315 Main Street, Lakeville, CT 06039 | Psychiatric Outpatient Clinic | 2007-08-01 ~ 2011-06-30 |
| Community Mental Health Affiliates Inc. · Northwest Center for Family Services and Mental Health | 115 Spencer Street, Winsted, CT 06098 | Psychiatric Outpatient Clinic | 2007-08-01 ~ 2011-06-30 |
| Community Mental Health Affiliates Inc. · Community Mental Health Affiliates, Inc. | 81 North Main Street, Bristol, CT 06010 | Psychiatric Outpatient Clinic | 2012-04-01 ~ 2016-03-31 |
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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).