THOMAS LAWTON MERTZ (Credential# 446651) 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.
THOMAS LAWTON MERTZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040083. 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 103 Country Corners Cir, Venetia, PA 15367-1165. The current status is inactive.
| Licensee Name | THOMAS LAWTON MERTZ |
| Credential ID | 446651 |
| Credential Number | CSP.0040083 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
103 Country Corners Cir Venetia PA 15367-1165 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-09-01 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 400050 | PCT.0010306 | PHARMACIST | 2005-06-02 | 2010-02-01 - 2011-01-31 | INACTIVE |
| 564110 | 1.046528-DO | Physician/Surgeon | 2008-05-15 | 2009-05-12 - 2010-07-31 | INACTIVE |
| 401715 | PTP.0000195 | TEMPORARY PERMIT TO PRACTICE PHARMACY | 2005-05-02 | 2005-05-02 - 2005-06-02 | INACTIVE |
| Street Address | 103 COUNTRY CORNERS CIR |
| City | VENETIA |
| State | PA |
| Zip Code | 15367-1165 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie M Cotugno | 104 Springbrooke Drive, Venetia, PA 15367 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Susan E Luddy | 102 Teaberry Lane, Venetia, PA 15367 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Douglas Cervenak | 215 Fox Run Dr, Venetia, PA 15367 | Professional Engineer | 1997-02-01 ~ 1998-01-31 |
| Mary Ann O'malley | 197 Scott Lane, Venetia, PA 15367 | Registered Nurse | 2009-01-23 ~ 2010-02-28 |
| Norma L Bouchard | 101 Shadycrest Court, Venetia, PA 15367 | Dental Hygienist | 2008-09-17 ~ 2009-09-30 |
| Thomas G Ali | 110 Edge Water Court, Venetia, PA 15367 | Professional Engineer | 2000-02-01 ~ 2001-01-31 |
| Samer Murad Fadl | 111 Bittersweet Cir, Venetia, PA 15367-1041 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Leonard James Ducouer | 883 Bebout Rd, Venetia, PA 15367-1215 | Registered Nurse | 2019-04-25 ~ 2020-02-29 |
| City | VENETIA |
| Zip Code | 15367 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VENETIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James J Mertz Md | 75 Carey St, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Elizabeth A Lawton | 17 Janet Dr, Middlebury, CT 06762-1628 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica Lawton | 35 Talcottville Rd Ste 6, Vernon, CT 06066-5261 | Controlled Substance Registration for Practitioner | 2019-03-15 ~ 2021-02-28 |
| Shaira Cohen | 85 Lawton Ave, Stamford, CT 06907-1921 | Controlled Substance Registration for Practitioner | 2020-04-16 ~ 2021-02-28 |
| Irene Jakab Md | 74 Lawton St, Brookline, MA 02446 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Paul A Engelman Do | 36 Nw Sandy Trail Ln, Lawton, OK 73505-9558 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mertz Company Inc (the) | 194 S Water St, Greenwich, CT 06830 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Thomas J May Do | 50 Brookmoor Rd, Avon, CT 06001-2301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James D Thomas Pa-c | Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2008-02-29 ~ 2009-02-28 |
| Antonio Thomas | 128 Bay Ave, New Britain, CT 06053-2205 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on THOMAS LAWTON MERTZ.
| 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).