MONIQUE R. MARTIN (Credential# 508362) 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.
MONIQUE R. MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043844. 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 672 Silas Deane Hwy, Wethersfield, CT 06109. The current status is active.
| Licensee Name | MONIQUE R. MARTIN |
| Credential ID | 508362 |
| Credential Number | CSP.0043844 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
672 Silas Deane Hwy Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-07-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 998221 | 1.049953 | Physician/Surgeon | 2011-06-08 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 672 Silas Deane Hwy |
| City | Wethersfield |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas A Brown Md | 672 Silas Deane Hwy, Wethersfield, CT 06109-3053 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amici's Pizzeria · Ngn Inc | 672 Silas Deane Hwy, Wethersfield, CT 06109 | Bakery | 2004-07-01 ~ 2005-06-30 |
| Lynn M Dillon · Pal's Pub | 672 Silas Deane Hwy, Wethersfield, CT 06109-3053 | Cafe Liquor | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | Wethersfield |
| Zip Code | 06109 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Wethersfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Monique Tello Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Monique A Telle | 441 Chapel St 1-1, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-17 ~ 2005-02-28 |
| Monique Misra Md | 662 Reef Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Monique A Grey | 204 Wooster St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Danielle Monique Hegarty | 133 Fox Hill Ln, Enfield, CT 06082-3861 | Controlled Substance Registration for Practitioner | 2020-06-24 ~ 2021-02-28 |
| Monique Evangeline Hinchcliff | 300 Cedar St, New Haven, CT 06519-1612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Monique L Deveaux Md | 278-17 Silverbrook Road, Orange, CT 06477 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Monique Giroux Md | 3 Newbury Lane, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 1994-10-04 ~ 1996-09-01 |
| Monique C Cunin | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-07-25 ~ 2021-02-28 |
| Monique Class Aprn | 3 Rochambeau Ave, Ridgefield, CT 06877 | 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).