ANIL MATHEW MD (Credential# 220419) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANIL MATHEW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028922. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 228 Deerbrooke Circle, Soutington, CT 06489. The current status is active.
| Licensee Name | ANIL MATHEW MD |
| Credential ID | 220419 |
| Credential Number | CSP.0028922 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
228 Deerbrooke Circle Soutington CT 06489 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-11-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555744 | 1.038154 | Physician/Surgeon | 1999-09-28 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 228 DEERBROOKE CIRCLE |
| City | SOUTINGTON |
| State | CT |
| Zip Code | 06489 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTINGTON |
| Zip Code | 06489 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anil K Ghimire | 40 Prospect Ave Apt 2-4m, Norwalk, CT 06850-3742 | Controlled Substance Registration for Practitioner | 2010-12-17 ~ 2013-02-28 |
| Anil K. Vuggam Dds | 100 Jefferson Sq, Waterbury, CT 06706-1105 | Controlled Substance Registration for Practitioner | 2011-01-14 ~ 2013-02-28 |
| Anil K Chowdhary Dmd | 65 Avonwood Rd Apt B-12, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Anil J Britto | 38 Grove St # B, Ridgefield, CT 06877-4030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anil V Shah | 153 Sibbald Dr, Park Ridge, NJ 07656-2329 | Controlled Substance Registration for Practitioner | 2013-07-22 ~ 2015-02-28 |
| Anil K Gudipati | 955 Pavilion Loop, San Jose, CA 95112-4864 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Anil Gautam | 115 Cove Road, Lyme, CT 06371 | Controlled Substance Registration for Practitioner | 1994-08-09 ~ 1996-09-01 |
| Anil B Nagar Md | 34 East Main St, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anil Nair | 515 West Middle Turnpike, Manchester, CT 06040-5062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anil Kumar S Reddy Md | 20 Harnish Lane, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 1996-04-01 ~ 1997-02-28 |
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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).