BURT M MASHBURN MD (Credential# 548751) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
BURT M MASHBURN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030862. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 538 Litchfield St Suite #202, Torrington, CT 06790-6675. The current status is active.
| Licensee Name | BURT M MASHBURN MD |
| Credential ID | 548751 |
| Credential Number | 1.030862 |
| Credential Type | Physician/Surgeon |
| Business Address |
538 Litchfield St Suite #202 Torrington CT 06790-6675 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1990-06-22 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159427 | CSP.0018248 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 538 LITCHFIELD ST SUITE #202 |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-6675 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Boris J Sawula Md | 538 Litchfield St Ste 202, Torrington, CT 06790-6675 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Cogswell | 54 Birden St, Torrington, CT 06790 | Emergency Medical Technician | 2018-02-28 ~ 2020-06-30 |
| Maria Maclovia Vijay | 45 Cameron Street, Torrington, CT 06790 | Nail Technician | ~ |
| Tania Rosa Yupa | 141 Oak Av, Torrington, CT 06790 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria Teresa Aguaiza | 518 Circle Dr., Torrington, CT 06790 | Nail Technician | ~ |
| Gail A Langlois | 170 Hoerle Blvd, Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petricon's Torrington Pharmacy | 110 East Main St, Torrington, CT 06790 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Danielle L Jolicoeur | 25 Millard Street, Torrington, CT 06790 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Elizabeth Etta Begley | 1268 East Main St., Torrington, CT 06790 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Margaret A Gumbs | 415 Hillandale Blvd., Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Apex Community Care, Inc. | 601 South Main St. Unit #3, Torrington, CT 06790 | Psychiatric Outpatient Clinic | 2020-06-19 ~ 2023-03-31 |
| Find all Licenses in zip 06790 | |||
| City | TORRINGTON |
| Zip Code | 06790 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TORRINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mashburn Inc | 886 Old Waterbury Rd, Southbury, CT 06488 | Home Improvement Contractor | 1998-09-22 ~ 1999-11-30 |
| Tal Burt | 248 Marlborough St, Boston, MA 02116 | Physician/surgeon | 1996-08-06 ~ 1997-10-31 |
| Burt H Weston IIi | 2650 Clintonville Rd, Winchester, KY 40391-8980 | Physician/surgeon | 2019-12-02 ~ 2020-12-31 |
| Burt D Pina | 58 Bullivant Farm, Marion, MA 02738 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Thomas Burt · Thomas Burt Co (the) | 34 Seaside Ave, Guilford, CT 06437 | Home Improvement Contractor | ~ 1995-07-01 |
| Burt Medical Laboratory Inc · Edward C Burt Dir | 24 Rossotto Dr, Hamden, CT 06514 | Controlled Substance Laboratory | 1996-01-11 ~ 1996-01-31 |
| Wilcox & Burt Associates Inc | 34 Seaside Avenue, Guilford, CT 06437 | New Home Construction Contractor | 1999-10-01 ~ 2001-09-30 |
| Burt Realty LLC | 33 W High St, East Hampton, CT 06424-1088 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Burt Hill Inc | 400 Morgan Ctr / 101 E Diamond St, Butler, PA 16001 | Architecture Corporation | 2011-08-01 ~ 2012-07-31 |
| Sue-ann Faucher Pac | 1268 Burt Hill Rd, Tolland, MA 01034 | Physician Assistant | 2014-12-01 ~ 2015-11-30 |
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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).