AMY R PAYNE MD (Credential# 452472) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
AMY R PAYNE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040745. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 555 Willard Avenue, Newington, CT 06111. The current status is inactive.
| Licensee Name | AMY R PAYNE MD |
| Credential ID | 452472 |
| Credential Number | CSP.0040745 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
555 Willard Avenue Newington CT 06111 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-10-06 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 562297 | 1.044715 | Physician/Surgeon | 2006-08-24 | 2014-07-01 - 2015-06-30 | INACTIVE |
| Street Address | 555 WILLARD AVENUE |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Santosh Doddamane Do | 555 Willard Avenue, Newington, CT 06111 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michelle Hoang Phan | 555 Willard Avenue, Newington, CT 06111 | Optometrist | 2020-06-01 ~ 2021-05-31 |
| Lorraine T. Binns-grear | 555 Willard Avenue, Newington, CT 06111 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Aysha Saeed Md | 555 Willard Avenue, Newington, CT 06111 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Christine Cheng | 555 Willard Avenue, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Veterans Executive Committee | 555 Willard Avenue, Newington, CT 06111 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan M Petrowsky | 57 Payne Dr, Cheshire, CT 06410-1718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence N. Payne Md | 670 Sunridge Rd, Fairlawn, OH 44333-3276 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kristen L Payne Aprn | 222 Main St Pmb #122, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Ryan D Payne | 1555 Whitney Ave, Hamden, CT 06517-2003 | Controlled Substance Registration for Practitioner | 2014-02-11 ~ 2015-02-28 |
| Camille A Payne | 24 Sachem Circle, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Loel Z Payne | 1579 Straits Tpke Ste E, Middlebury, CT 06762-1835 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Sarah E Payne-kraiza | 119 Upcountry Ln, Travelers Rest, SC 29690-7914 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Payne Whitney Gym | 70 Tower Pkwy, New Haven, CT 06511-3623 | Controlled Substance Registration for Hospitals | ~ |
| F S Payne Co | 100 Sebethe Drive, Cromwell, CT 06416 | Home Improvement Contractor | 1998-01-06 ~ 1998-11-30 |
| Payne Environmental LLC · Neil G Payne | 42 Ozick Dr Ste 2, Durham, CT 06422-1029 | Lead Consultant Contractor | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on AMY R PAYNE 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).