EYTAN YOUNG MD (Credential# 282132) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 3, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
EYTAN YOUNG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031054. The credential type is controlled substance registration for practitioner. The effective date is March 3, 2004. The expiration date is February 28, 2005. The business address is 94 Island Ave, Madison, CT 06443. The current status is inactive.
| Licensee Name | EYTAN YOUNG MD |
| Credential ID | 282132 |
| Credential Number | CSP.0031054 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
94 Island Ave Madison CT 06443 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2004-03-03 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557120 | 1.039536 | Physician/Surgeon | 2001-05-17 | 2003-10-24 - 2004-10-31 | INACTIVE |
| Street Address | 94 ISLAND AVE |
| City | MADISON |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fence Creek Development Group LLC | 94 Island Ave, Madison, CT 06443 | New Home Construction Contractor | 2003-10-22 ~ 2005-09-30 |
| Amy M Kimball | 94 Island Ave, Madison, CT 06443 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eytan H Barnea | 140 E 40th St Apt 11e, New York, NY 10016-1760 | Controlled Substance Registration for Practitioner | ~ |
| Eytan M Rubinstien Md | 114 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2017-06-28 ~ 2019-02-28 |
| Richard Young Pa | Belmont, VT 05730 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Young Ju Oh | 111 Fulton St Apt 304, New York, NY 10038-2740 | Controlled Substance Registration for Practitioner | 2012-02-21 ~ 2013-02-28 |
| Phyllis A Young | 8 Rue De Vin Dr, Marlboro, NY 12542-5953 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ju Young Bae | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2019-06-21 ~ 2021-02-28 |
| Jea Young Park | 130 Division St, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2019-05-06 ~ 2021-02-28 |
| Halina E Gorecki | 17 Young St, Plainville, CT 06062-1640 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth A Young | 1 Columbia St Fl 1, Poughkeepsie, NY 12601-3924 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christina J Young | 93 Robinwood Rd, Waterbury, CT 06708-2407 | Controlled Substance Registration for Practitioner | 2017-02-04 ~ 2019-02-28 |
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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).