ROBERT L MADDEN MD (Credential# 551853) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 27, 2003. The license expiration date date is July 31, 2004. The license status is INACTIVE.
ROBERT L MADDEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034255. The credential type is physician/surgeon. The effective date is May 27, 2003. The expiration date is July 31, 2004. The business address is 300 Birnie Ave Ste 300, Springfield, MA 01107. The current status is inactive.
| Licensee Name | ROBERT L MADDEN MD |
| Credential ID | 551853 |
| Credential Number | 1.034255 |
| Credential Type | Physician/Surgeon |
| Business Address |
300 Birnie Ave Ste 300 Springfield MA 01107 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-01-20 |
| Effective Date | 2003-05-27 |
| Expiration Date | 2004-07-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 53032 | CSP.0024873 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 300 BIRNIE AVE STE 300 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Elizabeth Marshall | 945 Armory St, Springfield, MA 01107 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jennifer L Fish | 367 Union Street, Springfield, MA 01107 | Hairdresser/cosmetician | ~ |
| Joseph Pagan | 59 Rowland Street, Springfield, MA 01107 | Medication Administration Certification | 2020-04-20 ~ 2022-04-19 |
| Daniel Laguerre | 382 Springfield St, Springfield, MA 01107 | Crane Operator | ~ |
| Kamal Kant Kalia | 2 Medical Center Drive, Springfield, MA 01107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bushee Enterprises LLC | Po Box 1196, Southwick, MA 01107 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| B Lopez | 165 Prospect Street, Springfield, MA 01107 | Notary Public Appointment | 2011-10-01 ~ 2016-09-30 |
| Beth C Mcinerny | 260 Ware Road, Belchertown, MA 01107 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Jorge Enrique Rivera | 20 Narragansett Street, Springfield, MA 01107 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Rachael Hynds-decoteau | 22 Candice Cir, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-09-19 ~ 2021-02-28 |
| Find all Licenses in zip 01107 | |||
| City | SPRINGFIELD |
| Zip Code | 01107 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Majlinda Madden | 1806 Gateway Blvd Apt 1e, Far Rockaway, NY 11691-4314 | Physician/surgeon | 2020-04-18 ~ 2021-04-30 |
| Marguerite T Madden · Joseph L. Madden | 169 Candlewyck Dr, Newington, CT 06111 | Registered Nurse | 1998-11-23 ~ 2000-01-31 |
| Vicki Cahill Madden · Madden | Po Box 550, Newcastle, ME 04553-0550 | Registered Nurse | 2012-11-01 ~ 2013-10-31 |
| Sean Madden · Madden Woodworking | 26 Dart St, New London, CT 06320-4512 | Home Improvement Contractor | 2017-03-06 ~ 2017-11-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert G Madden | 259 Warsaw St, Deep River, CT 06417 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Cheryl Ann Madden | 1345 Rxr Plaza, Uniondale, NY 11556 | Physician Assistant | 2017-07-01 ~ 2018-06-30 |
| Aimee M Madden | 40 Prospect Street, Norwalk, CT 06850 | Physician Assistant | 2000-11-28 ~ 2001-05-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Y Chang Md | 35 Elm St, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).