JAMES J AUGUSTINE MD (Credential# 372242) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
JAMES J AUGUSTINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035003. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 715 Yankee Trace Drive, Centerville, OH 45458. The current status is inactive.
| Licensee Name | JAMES J AUGUSTINE MD |
| Credential ID | 372242 |
| Credential Number | CSP.0035003 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
715 Yankee Trace Drive Centerville OH 45458 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-06-04 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559998 | 1.042416 | Physician/Surgeon | 2004-05-07 | 2008-06-24 - 2009-07-31 | INACTIVE |
| Street Address | 715 Yankee Trace Drive |
| City | Centerville |
| State | OH |
| Zip Code | 45458 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aimee J Halferty | 1731 Washington Creek Lane, Dayton, OH 45458 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Carol Gottschall | 10620 Summer Park Way, Dayton, OH 45458 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Ankur Gupta | 10835 Mariam Ln, Dayton, OH 45458 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Toni J Hurd | 441 Bentley Oak Lane, Centerville, OH 45458 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
| Ausra Walker | 8509 Joshire Place, Centerville, OH 45458 | Registered Nurse | 2014-11-01 ~ 2015-10-31 |
| Richard L Pavlak | 8291 Rhine Way, Centerville, OH 45458 | Professional Engineer | 2003-02-01 ~ 2004-01-31 |
| Mark J Hunter | 9412 Parkside Dr, Dayton, OH 45458 | Professional Engineer | 2008-02-01 ~ 2009-01-31 |
| Chialung P Cheng | 1705 Heritage Lake Dr., Centerville, OH 45458 | Certified Public Accountant License | 1996-01-01 ~ 1996-12-31 |
| Kelli E Maxwell | 1368 Finger Lakes, Dayton, OH 45458 | Registered Nurse | 2009-02-26 ~ 2009-12-31 |
| Laurie J Frost | 3 Westerfield Dr, Centerville, OH 45458 | Hairdresser/cosmetician | 1992-05-27 ~ 1993-04-30 |
| Find all Licenses in zip 45458 | |||
| City | Centerville |
| Zip Code | 45458 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Centerville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wenjing Adams | 11250 Old St Augustine Rd, Jacksonville, FL 32257 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Augustine Andoh-duku | 300 Seaside Ave, Milford, CT 06460-4603 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward A Kent Md | 992 Oxford Dr, Saint Augustine, FL 32084-1813 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Domenic Marini Md | 609 Shore Drive, St Augustine, FL 32086 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Augustine O Okeke | 1450 Chapel St Rm 224, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sarah J Lopez | 14 Upper Ragbir St, St. Augustine | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Megan T Taylor | 316 Redwing Ln, Saint Augustine, FL 32080-7979 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Annie Augustine | 5 Stone Xing, South Windsor, CT 06074-6301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jesse M Adams | 11250 Old Saint Augustine Rd Ste 15, Jacksonville, FL 32257-1147 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| James Augustine · James Augustine Construction | 51 Chestnut St # B, Branford, CT 06405-3775 | Home Improvement Contractor | 2017-01-30 ~ 2017-11-30 |
Please comment or provide details below to improve the information on JAMES J AUGUSTINE MD.
| 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).