JEFFREY MARTIN MD (Credential# 184145) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
JEFFREY MARTIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025935. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 129 Valley View Rd, Greentown, PA 18426. The current status is inactive.
Licensee Name | JEFFREY MARTIN MD |
Business Name | DAY KIMBALL HOSPITAL |
Credential ID | 184145 |
Credential Number | CSP.0025935 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
129 Valley View Rd Greentown PA 18426 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2009-03-01 |
Expiration Date | 2011-02-28 |
Refresh Date | 2013-03-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
552651 | 1.035057 | Physician/Surgeon | 1996-02-02 | 2010-01-01 - 2010-12-31 | INACTIVE |
Street Address | 129 VALLEY VIEW RD |
City | GREENTOWN |
State | PA |
Zip Code | 18426 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joshua Anns | 1354 Rte 507, Greentown, PA 18426 | Engineer-in-training | ~ |
Carol S Ryan | 228 Big Bear Drive, Greentown, PA 18426 | Licensed Practical Nurse | 2002-02-21 ~ 2003-04-30 |
Kathryn E Whitehurst | 745 Wintergreen Cir, Greentown, PA 18426 | Physical Therapist | 1998-07-20 ~ 1999-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ryan D Garrett | 559 Stone Dr, Greentown, IN 46936-1178 | Public Service Technician - Telephone | 2011-01-10 ~ 2011-09-30 |
City | GREENTOWN |
Zip Code | 18426 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GREENTOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Day Kimball Hospital | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
Ivo Buhac Md | Day Kimball Hospital, Putnam, CT 06260-0901 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
Bronson E Terry Md | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Garfield W Danenhower IIi · Day Kimball Hospital | Po Box 177, Pomfret, CT 06258-0177 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Anna Rokhlenko Md | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Debbi M Mcinteer Md | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Isabelita Bella | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Alan Cahill Md | Day Kimball Hospital, Putman, CT 06260 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
Charles D Guri Md | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 1993-08-11 ~ 1995-09-01 |
Cathy J Sommer | Day Kimball Hospital, Putnam, CT 06260 | 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).