TINA M MAYER MD (Credential# 444589) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
TINA M MAYER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039527. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 3212 Avalon Drive, Shelton, CT 06484. The current status is inactive.
| Licensee Name | TINA M MAYER MD |
| Credential ID | 444589 |
| Credential Number | CSP.0039527 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3212 Avalon Drive Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-07-20 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 563271 | 1.045689 | Physician/Surgeon | 2007-07-23 | 2007-07-23 - 2008-06-30 | INACTIVE |
| Street Address | 3212 AVALON DRIVE |
| 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 |
|---|---|---|---|
| Amarnath Polepalle | 9 Mayer Dr, Middletown, NY 10940-3349 | Controlled Substance Registration for Practitioner | 2020-06-24 ~ 2021-02-28 |
| Deborah A Mayer | 7 Mayflower La, Weston, CT 06883 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Bridget Marie Mayer | 83 Riverbank Dr, Stamford, CT 06903-3536 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fern E Mayer | 132 Morgan Street, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John E Mayer Jr | 300 Longwood Ave # Fa273, Boston, MA 02115-5724 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Gail Marie Hanson-mayer | 26 Eastern Ave, Lexington, MA 02421 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Allan R Mayer Do | 1161 Prospect Ave, West Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| O Tina Rose Md | 242 W Elm St, New Haven, CT 06515-2035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tina Robbins | 22 Hall Ln, Berlin, CT 06037-2603 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tina A Boucher Dpm | 807 Broad St, Meriden, CT 06450-4301 | 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).