JEFFREY A CARRUTH MD (Credential# 342428) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 10, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JEFFREY A CARRUTH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033628. The credential type is controlled substance registration for practitioner. The effective date is March 10, 2019. The expiration date is February 28, 2021. The business address is Po Box 264, Shelton, CT 06484. The current status is active.
| Licensee Name | JEFFREY A CARRUTH MD |
| Credential ID | 342428 |
| Credential Number | CSP.0033628 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 264 Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-06-10 |
| Effective Date | 2019-03-10 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 558743 | 1.041160 | Physician/Surgeon | 2003-02-20 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | PO BOX 264 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jevin P Carruth | 29 Johnson St, Naugatuck, CT 06770-4214 | Controlled Substance Registration for Practitioner | 2015-05-13 ~ 2017-02-28 |
| Jeffrey Factor | Jeffrey M. Factor, Md, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey R Uhl Dds | 75 Limerick Rd, Trumbull, CT 06611-1828 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Jeffrey M Ulis | 660 Mix Ave #1h, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2010-12-08 ~ 2013-02-28 |
| Jeffrey Dempski Do | Po Box 283, Wiscasset, ME 04578-0283 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey W Moy | 8 Woodhill Rd, Milford, CT 06461-2368 | Controlled Substance Registration for Practitioner | 2013-09-27 ~ |
| Jeffrey N Masi | New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2011-06-13 ~ 2013-02-28 |
| Jeffrey Kleis Dpm | 201 Ann St Ste# 203, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 1997-03-19 ~ 1998-02-28 |
| Jeffrey T Alwine | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2013-04-10 ~ 2015-02-28 |
| Jeffrey M Kay | 38 Bonwit Rd, Riverside, CT 06878-1215 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).