ROBERTO R MARTINEZ MD (Credential# 233572) 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.
ROBERTO R MARTINEZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029372. 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 624 Miller Road, East Greenbush, NY 12061. The current status is active.
Licensee Name | ROBERTO R MARTINEZ MD |
Credential ID | 233572 |
Credential Number | CSP.0029372 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
624 Miller Road East Greenbush NY 12061 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2000-03-28 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
556034 | 1.038444 | Physician/Surgeon | 2000-03-03 | 2020-01-01 - 2020-12-31 | ACTIVE |
Street Address | 624 MILLER ROAD |
City | EAST GREENBUSH |
State | NY |
Zip Code | 12061 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
April Michelle Weils | 12 Emily Drive, East Greenbush, NY 12061 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Michael J Kenneally | 1 Thrush Terrace, East Greenbush, NY 12061 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Ryan T Preston | 1 Avian Drive, East Greenbush, NY 12061 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Barbara Elizabeth Wentworth | 10 Van Buren Avenue, East Greenbush, NY 12061 | Registered Nurse - Temporary | 2019-03-26 ~ 2019-07-24 |
Volney W Blodgett · Boston&maine Corp, Design Dept | Rr#1 - Box 224, E Greenbush, NY 12061 | Professional Engineer & Land Surveyor | 1993-01-22 ~ 1994-01-31 |
Malavika Bandari | 705 Forrest Pointe Drive, East Greenbush, NY 12061 | Physician/surgeon | ~ |
Shannon E Dugan | 65 Bloomingdale Avenue, East Greenbush, NY 12061 | Pharmacy Intern | 2005-09-14 ~ 2009-09-30 |
Karl A Brandt · Brandt Poost Architects | 2 Middlesex Rd, E Greenbush, NY 12061 | Architect | 2004-08-01 ~ 2005-07-31 |
Tiffany C Ashe | 737 Columbia Tpke, East Greenbush, NY 12061 | Registered Nurse | 2008-06-18 ~ 2009-06-30 |
Jamie C Baksa | 2004 Rockport Ct, East Greenbush, NY 12061 | Registered Nurse | 2001-10-03 ~ 2002-10-31 |
Find all Licenses in zip 12061 |
City | EAST GREENBUSH |
Zip Code | 12061 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST GREENBUSH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roberto F Martinez | 5 Alder Lane, Sandy Hook, CT 06482 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Roberto Travieso | 20 York St # 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Roberto Diaz Md | 513 Howellston Rd, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Roberto E Montenegro | 196 Nicoll St. Apt 2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Roberto Rappa | 157 Leeder Hill Dr Apt 205, Hamden, CT 06517-2762 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Roberto I Bracamonte Md | Valley Hospital, Phoenix, AZ 85018 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Anka Roberto | 3138 S Rocklund Ct, Wilmington, NC 28409-6802 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Roberto Norniella Md | 403 Aspen Glen Drive, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Roberto C M Barraza | Uconn Health Center, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Roberto A Miki | 140 Captain Thomas Blvd 401, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
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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).