MARVIN C CULBERTSON III (Credential# 436919) 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.
MARVIN C CULBERTSON III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039098. 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 1001 Summer St, Chattanooga, TN 37405-2948. The current status is inactive.
| Licensee Name | MARVIN C CULBERTSON III |
| Credential ID | 436919 |
| Credential Number | CSP.0039098 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1001 Summer St Chattanooga TN 37405-2948 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 2006-06-14 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2015-02-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561979 | 1.044397 | Physician/Surgeon | 2006-05-24 | 2012-11-01 - 2013-10-31 | INACTIVE |
| Street Address | 1001 SUMMER ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37405-2948 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly A Lindberg | 328 Cherokee Blvd Apt 262, Chattanooga, TN 37405 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Mary Katelyn Shaw | 815 Mt. Vernon Ave, Chattanooga, TN 37405 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Sean M Harper | 1185 Mountain Creek Rd Apt# 1314, Chattanooga, TN 37405 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Stephanie J Hamel | 326 B Thompson St, Chattanooga, TN 37405 | Registered Nurse | 2012-03-15 ~ 2013-04-30 |
| Becki A Chastain | 1823 Auburndale Ave, Chattanooga, TN 37405-1403 | Registered Nurse | 2018-07-01 ~ 2019-06-30 |
| James L. Wagner | 1608 Riverview Rd, Chattanooga, TN 37405-3131 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Pamela G Roberts | 1330 Hixson Pike, Chattanooga, TN 37405-3141 | Registered Nurse - Temporary | 2016-12-12 ~ 2017-04-10 |
| Jessica T Ksiazek | 125 Cherokee Blvd Apt 303, Chattanooga, TN 37405-3895 | Physical Therapist | 2017-04-01 ~ 2018-03-31 |
| Diane Pennell Walton | 215 Baker St, Chattanooga, TN 37405-4103 | Registered Nurse | 2011-10-01 ~ 2012-09-30 |
| May Dee Gemilo | 900 Mountain Creek Rd Apt R297, Chattanooga, TN 37405-4515 | Registered Nurse - Temporary | 2017-01-05 ~ 2017-05-04 |
| Find all Licenses in zip 37405 | |||
| City | CHATTANOOGA |
| Zip Code | 37405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHATTANOOGA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marvin Den | 40, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marvin Sperling | New Rochelle, NY 10804 | Controlled Substance Registration for Practitioner | 2011-03-12 ~ 2013-02-28 |
| Marvin Zelman | 31 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marvin J Astle | 121 Deer Run Rd, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Marvin J Base | 15-56 216th St, Bayside, NY 11361 | Controlled Substance Registration for Practitioner | 1994-02-01 ~ 1995-07-01 |
| Marvin L Cousins Md | 16 Bianca Dr, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Marvin J Lipschutz | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marvin Eric Nix | Po Box 1017, Kennesaw, GA 30156-8017 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marvin L Prince Md | Dept of Gastroenterology, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marvin P Zimmerman Md | 23 Prospect Hill Rd, Branford, CT 06405-5711 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).