ABY PHILIP (Credential# 482345) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 8, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
ABY PHILIP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0042607. The credential type is controlled substance registration for practitioner. The effective date is March 8, 2013. The expiration date is February 28, 2015. The business address is 263 Farmington Ave, Farmington, CT 06030-1235. The current status is inactive.
| Licensee Name | ABY PHILIP |
| Credential ID | 482345 |
| Credential Number | CSP.0042607 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
263 Farmington Ave Farmington CT 06030-1235 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2007-09-24 |
| Effective Date | 2013-03-08 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| Street Address | 263 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-1235 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Matthew D Goranson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Jacob Silver | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Nicholas Bellas | 263 Farmington Ave, Farmington, CT 06032-1956 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Hale | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Cory R Hewitt | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Sango Huwaa Mosia Asante | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ryan Desrochers | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Kelsey D Greenhalgh | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Derek J Tow | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vincent Cunanan | Unconn Health Center, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Arun Padala | 263 Farmington Ave Mc-1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jeannette A Loman | 263 Farmington Avenue Mc-1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2009-03-19 ~ 2011-02-28 |
| Megan M Groh | Mc-1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Preetha Joseph | Uconn Mc-1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2007-08-03 ~ 2008-02-29 |
| Alison Hastings | Farmington Ave Mc 1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Ruby Sharma | 263 Farmington Ave Mc-1935, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2007-07-23 ~ 2008-02-29 |
| Brad M Malehorn | 263 Farmington Avenue L2104 Mc1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Petros Christopoulos | 263 Farmington Ave Mc 1235, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2006-11-30 ~ 2007-02-28 |
| Sena Kilic | 263 Farmington Avenue, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Find all Licenses in zip 06030-1235 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip Y Wai | 100 Temple St Apt 202, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-28 ~ 2007-02-28 |
| Philip A Frick | Po Box 719, Niantic, CT 06357-0719 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip G Ong | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Philip Yi Kit Pang | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | ~ |
| Philip M Manger | 265 College St 12q, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-10-13 ~ 2005-02-28 |
| Philip P Mcgeoghan Jr | 418 Meadow St., Agawam, MA 01001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Philip R Pinter | 278 Vernon St, Manchester, CT 06042-3418 | Controlled Substance Registration for Practitioner | 2019-12-03 ~ 2021-02-28 |
| Philip S Kurzman | 431 Whitney Ave Apt B2, New Haven, CT 06511-2330 | Controlled Substance Registration for Practitioner | 2008-09-12 ~ 2009-02-28 |
| Philip Brunquell | 100 Ladyslipper Ln, Glastonbury, CT 06033-1740 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip A March | 6 Highland Sq, Avon, CT 06001-3309 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on ABY PHILIP.
| 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).