JONATHAN S. MITTELMAN
Controlled Substance Registration for Practitioner


Address: 175 Wingood Rd, Windsor, ME 04363-3707

JONATHAN S. MITTELMAN (Credential# 205840) 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.

Business Overview

JONATHAN S. MITTELMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027705. 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 175 Wingood Rd, Windsor, ME 04363-3707. The current status is inactive.

Basic Information

Licensee Name JONATHAN S. MITTELMAN
Credential ID 205840
Credential Number CSP.0027705
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 175 Wingood Rd
Windsor
ME 04363-3707
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2006-03-01
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
554942 1.037352 Physician/Surgeon 1998-10-30 2012-07-03 - 2013-07-31 INACTIVE

Office Location

Street Address 175 WINGOOD RD
City WINDSOR
State ME
Zip Code 04363-3707

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Bernard L Markey 271 Griffin Rd., Windsor, ME 04363 Crane Operator 2006-10-01 ~ 2008-09-30
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Brittany Swift 928 Worthy St, Windsor, CT 06095-3740 Registered Nurse 2020-06-26 ~ 2020-10-31
Annmarie Blair-atkinson 19 Hope Circle, Windsor, CT 06095 Medication Administration Certification 2020-05-23 ~ 2022-05-22
Frank J Davis Jr · Birchwood Farms 3 Birchwood Rd, Windsor, CT 06095-1002 Hemp Grower 2020-06-09 ~ 2021-12-31
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Competitor

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City WINDSOR
Zip Code 04363
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINDSOR

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Dataset Information

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).

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