MADELINE A DICK MD (Credential# 381883) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
MADELINE A DICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036375. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 157 Leeder Hill Dr #501, Hamden, CT 06517. The current status is inactive.
| Licensee Name | MADELINE A DICK MD |
| Credential ID | 381883 |
| Credential Number | CSP.0036375 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
157 Leeder Hill Dr #501 Hamden CT 06517 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-09-08 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560136 | 1.042554 | Physician/Surgeon | 2004-06-21 | 2013-04-01 - 2014-03-31 | INACTIVE |
| Street Address | 157 LEEDER HILL DR #501 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Phipps Md | 157 Leeder Hill Dr #501, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leslie S Dick Md | Po Box 315, Weatogue, CT 06089-0315 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Bruce H Dick | 16 Oakhill Road, Storrs, CT 06268 | Controlled Substance Registration for Practitioner | 1994-05-10 ~ 1996-06-01 |
| Madeline L Mccarthy | 37 Landon Rd, Milton, MA 02186-2546 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Madeline Munn | 8 Capitol Ave Unit 2, New Britain, CT 06053-3602 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Madeline Howe | 43 Granite St Unit C-4, New London, CT 06320-5957 | Controlled Substance Registration for Practitioner | 2019-08-19 ~ 2021-02-28 |
| Madeline Anne Mendez | 330 Delavan Ave Fl 2, Greenwich, CT 06830-5947 | Controlled Substance Registration for Practitioner | 2018-12-05 ~ 2021-02-28 |
| Madeline Simonet Md | 42 Valley Court, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Madeline Santiago Wood | 62 Washington St., Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Madeline T Negretti-cagno | 40 South Colman Rd, Wolcott, CT 06716 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrea Madeline Snyder | 2575 Northwinds Pkwy Fl 6, Alpharetta, GA 30009-2232 | Controlled Substance Registration for Practitioner | 2019-05-31 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MADELINE A DICK 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).