PHILIP R MARTINEZ JR (Credential# 458043) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PHILIP R MARTINEZ JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040953. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 63 Lake Rd, North Branford, CT 06471-1254. The current status is active.
| Licensee Name | PHILIP R MARTINEZ JR |
| Credential ID | 458043 |
| Credential Number | CSP.0040953 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
63 Lake Rd North Branford CT 06471-1254 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-12-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 572160 | 10.068153 | Registered Nurse | 2002-02-25 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 681725 | 12.003547 | Advanced Practice Registered Nurse | 2006-11-22 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 880036 | 72.001829 | Paramedic | 2004-02-27 | 2009-11-02 - 2010-11-30 | EXPIRED APPLICATION |
| 873196 | 70.990217 | Emergency Medical Technician | 1999-01-01 | 2003-07-16 - 2005-03-31 | INACTIVE |
| Street Address | 63 LAKE RD |
| City | NORTH BRANFORD |
| State | CT |
| Zip Code | 06471-1254 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Martinez | 63 Lake Rd, North Branford, CT 06471-1254 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sheila Duggan | 53 Lake Rd, North Branford, CT 06471-1254 | Professional Counselor | 2019-08-01 ~ 2020-07-31 |
| Kristen Caron · Color Creations | 43 Lake Rd, North Branford, CT 06471-1254 | Home Improvement Contractor | 2015-04-21 ~ 2015-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Qilin Piao | 280 Brandford Rd, Brandford, CT 06471 | Nail Technician | ~ |
| Jill L Williams | 7 Harrison Rd, North Branford, CT 06471 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sophia Ivana Didiano | 201 Branford Rd, N Branford, CT 06471 | Master's Level Social Worker | ~ |
| Rachel Lauren Cohen | North Branford Dental Group, North Branford, CT 06471 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Concepcion Isela De Mejia | 999 Foxon Rd Unit 9, North Branford, CT 06471 | Nail Technician | ~ |
| Cherry Hill Construction & Demolition · Ciro Associates LLC | 51 Ciro Rd, N Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Rose Orhcards Farm Market | 33 Route 139, North Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sandra L Cappello | 33 Edgewood Dr, North Branford, CT 06471 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Melissa T Anderson | 14 Pine Hollow Rd, North Branford, CT 06471 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| A Best Buy Premium Fuel & Trucking LLC | 196 West Pond Ext, North Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06471 | |||
| City | NORTH BRANFORD |
| Zip Code | 06471 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alba T Martinez Md | 266 3rd Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Franklin L Martinez Dds | 201 Bridge Plz N Apt 12b, Fort Lee, NJ 07024-5904 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Alvin E Martinez | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Zaneta M Martinez | 51 Oakcrest Rd, Oxford, CT 06478 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fatima B Martinez | 26 Kowal Ct, Newington, CT 06111-5323 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Teresa A Martinez | 198 Brookdale Rd, Stamford, CT 06903-4130 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ana R Martinez | 6t Talcott Forest Road, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-28 |
| Ricardo D Martinez | 40 Foxon Hill Rd, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 1993-06-14 ~ 1995-01-01 |
| Kristen K Martinez | 88 Highcrest Road, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Viterbo A Martinez Md | 60 Gillette Street, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2001-03-05 ~ 2002-02-28 |
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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).