NICHOLAS A DEMARTINIS MD (Credential# 511816) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 14, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
NICHOLAS A DEMARTINIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044445. The credential type is controlled substance registration for practitioner. The effective date is November 14, 2013. The expiration date is February 28, 2015. The business address is 40 Deer Run Dr, West Hartford, CT 06107-3140. The current status is inactive.
| Licensee Name | NICHOLAS A DEMARTINIS MD |
| Credential ID | 511816 |
| Credential Number | CSP.0044445 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Deer Run Dr West Hartford CT 06107-3140 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-08-20 |
| Effective Date | 2013-11-14 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555922 | 1.038332 | Physician/Surgeon | 1999-12-27 | 2012-08-01 - 2013-07-31 | INACTIVE |
| 431411 | CSP.0038888 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-03 | 2006-03-03 - 2007-02-28 | INACTIVE |
| 225939 | CSP.0029018 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 40 DEER RUN DR |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-3140 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth W Feder | 32 Deer Run Dr, West Hartford, CT 06107-3140 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Gennady G Shteynberg | 28 Deer Run Dr, West Hartford, CT 06107-3140 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Deena C Casiero | 8 Deer Run Dr, West Hartford, CT 06107-3140 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Srinath-reddi Pingle | 20 Deer Run Dr, West Hartford, CT 06107-3140 | Emergency Medical Technician | 2013-09-23 ~ 2016-07-01 |
| Paul M Brodeur | 24 Deer Run Dr, West Hartford, CT 06107-3140 | Hairdresser/cosmetician | 2010-11-01 ~ 2012-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas T Catanuto Md | Po Box 518, Niantic, CT 06357-0518 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Nicholas J Totalo Jr | 101 Elizabeth St., Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Nicholas Panaro | 664 Stoneleigh Ave, Carmel, NY 10512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas J Manzoli Dmd | 39 Kennedy Dr Ste C, Putnam, CT 06260-1957 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas V Polifroni Md | 761 Main Ave Ste 115, Norwalk, CT 06851-1080 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas A Haralabakis | 237 Elm St, West Haven, CT 06516-4635 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas Georgakis Md | 300 Federal Rd, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 1994-08-05 ~ 1996-09-01 |
| Nicholas M Lodato Md | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Nicholas Theodoss | 144 Benz St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | ~ |
| Nicholas R Salerno Md | 26 Denison Ave, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on NICHOLAS A DEMARTINIS 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).