RONALD ENNIS MD (Credential# 323760) 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.
RONALD ENNIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032916. 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 622 W 168th St, New York, NY 10032. The current status is inactive.
| Licensee Name | RONALD ENNIS MD |
| Credential ID | 323760 |
| Credential Number | CSP.0032916 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
622 W 168th St New York NY 10032 |
| 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 |
|---|---|---|---|---|---|
| 550224 | 1.032621 | Physician/Surgeon | 1992-10-02 | 2003-12-22 - 2005-01-31 | INACTIVE |
| Street Address | 622 W 168TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward Felix Lin | 622 W 168th St, New York, NY 10032-3720 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca H C Yeh | 835 Riverside Drive, New York, NY 10032 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Olga M Brown | 621 W 169 Street, New York City, NY 10032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J Howard Williams | 835 Riverside Dr Apt #1-d, New York, NY 10032 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
| Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Mitchell S Elkind | 710 W. 168th Street, New York, NY 10032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emily Chug | 100 Haven Ave, New York, NY 10032 | Physical Therapist | ~ |
| Rainer N Mittl | 635 West 165th Street, New York, NY 10032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tristan Timothy Sands | 180 Fort Washington Ave, 5th Floor, New York, NY 10032 | Physician/surgeon | ~ |
| Thread Connects, Inc. · Thread | 611 W 163rd St, New York, NY 10032 | Public Charity | 2020-03-24 ~ 2020-11-30 |
| Mitchell Wade Dillon | 565 West 169th Street, New York, NY 10032 | Genetic Counselor | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10032 | |||
| City | NEW YORK |
| Zip Code | 10032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen A. Ennis | 30 Orchard St, Cos Cob, CT 06807-2403 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Everol M Ennis Jr | 196 Woodland Dr, Cheshire, CT 06410-1645 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William H Ennis | 2625 Park Ave, Bridgeport, CT 06604-1322 | Controlled Substance Registration for Practitioner | 2015-07-06 ~ 2017-02-28 |
| Kayla Ennis Cunningham | 688 East Main Street, Branford, CT 06405-2988 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronald Linden | 324 Elm St Ste 2a, Monroe, CT 06468-2280 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Ronald S Paret Md | Po Box 580, Wallingford, CT 06492-0580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronald T Lee | Po Box 1046, Wrentham, MA 02093 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ronald Miick Md | 630 Mix Ave Apt 1b, Hamden, CT 06514-2359 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Ronald M Castillo | 471 Wolcott Ln, Orange, CT 06477-2144 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronald J Czaja | 150 Hazard Ave, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2004-04-27 ~ 2005-02-28 |
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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).