CONSTANCIA FATIMA MACATANGAY (Credential# 892162) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 18, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
CONSTANCIA FATIMA MACATANGAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046397. The credential type is controlled substance registration for practitioner. The effective date is March 18, 2013. The expiration date is February 28, 2015. The business address is Farmington, CT 06030-0001. The current status is inactive.
| Licensee Name | CONSTANCIA FATIMA MACATANGAY |
| Credential ID | 892162 |
| Credential Number | CSP.0046397 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-08-28 |
| Effective Date | 2013-03-18 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| 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 |
|---|---|---|---|
| Tara J Miska | 20 Fatima Dr, Bethany, CT 06524-3214 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fatima Zahir | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-11 ~ 2011-02-28 |
| Fatima B Martinez | 26 Kowal Ct, Newington, CT 06111-5323 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Fatima Mawji | 1 Broad St Unit 28f, Stamford, CT 06901-2339 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fatima Jalil | 185 Canal Street, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aisha Fatima Siddiqi | 115 Colonial Rd, Stamford, CT 06906 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fatima Ajaz | Uconn Health Ctr, Farmington, CT 06030-1235 | Controlled Substance Registration for Practitioner | 2012-02-24 ~ 2013-02-28 |
| Fatima Anjum Md | 1689 Madison Ave Apt 7, Bridgeport, CT 06606-4565 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Fatima A Aidashti | 1248 Farmington Ave Apt C8, West Hartford, CT 06107-2624 | Controlled Substance Registration for Practitioner | 2013-08-07 ~ 2015-02-28 |
| Fatima Noor Akmal | 2308 Broadleaf Blvd, Manchester, CT 06042-7326 | Controlled Substance Registration for Practitioner | ~ |
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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).