TRINI A MATHEW (Credential# 912197) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2017. The license status is INACTIVE.
TRINI A MATHEW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047189. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2017. The business address is 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712. The current status is inactive.
| Licensee Name | TRINI A MATHEW |
| Credential ID | 912197 |
| Credential Number | CSP.0047189 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 2010-02-04 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2017-02-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 909847 | 1.048405 | Physician/Surgeon | 2010-01-20 | 2015-02-01 - 2016-01-31 | INACTIVE |
| Street Address | 3601 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6712 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fatima Memon | 2623 W Webster Road, Royal Oak, MI 48073 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Daniel L Menkes | 3555 W 13 Mile Rd, Royal Oak, MI 48073 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Renee Sue Felton | 32500 Concord Drive, Madison Heights, CT 48073 | Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Kirk J Wojno | 31157 Woodward Avenue, Royal Oak, MI 48073 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Kathleen N Shearer | 3911 Woodland, Royal Oak, MI 48073 | Registered Nurse | 1993-02-25 ~ 1993-12-31 |
| Kyle L Vonk | 3382 Harvard Road, Royal Oak, MI 48073 | Dentist | ~ 1996-12-31 |
| Anastiasia A Klock | 2927 N Vermont Avenue, Royal Oak, MI 48073 | Registered Nurse | 2003-05-28 ~ 2004-07-31 |
| Frank Z Martin | Royal Oak, MI 48073 | Architect | 2019-08-01 ~ 2020-07-31 |
| Stacy M Eldridge | 4002 Durham Rd, Royal Oak, MI 48073-1957 | Registered Nurse - Temporary | 2012-08-24 ~ 2012-12-22 |
| Greg E Swanson | 3711 Elmhurst Ave, Royal Oak, MI 48073-2347 | Public Service Technician - Telephone | 2011-09-06 ~ 2012-09-30 |
| Find all Licenses in zip 48073 | |||
| City | ROYAL OAK |
| Zip Code | 48073 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROYAL OAK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mathew R. Williams | 174 W 76th St Apt 8g, New York, NY 10023-8407 | Controlled Substance Registration for Practitioner | 2015-04-10 ~ 2017-02-28 |
| Mathew D Kline | 212 Wooster St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jenny Mathew | 12 Heritage Dr, Avon, CT 06001-4521 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Susan Mathew Md | 10 Point Comfort, Waterford, CT 06385 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Nickie Mathew | 110 Spring Meadow Dr Apt 14, Williamsville, NY 14221-8423 | Controlled Substance Registration for Practitioner | 2013-02-22 ~ 2015-02-28 |
| Marina Mathew | 1 W Glen Ave, Port Chester, NY 10573-2223 | Controlled Substance Registration for Practitioner | 2019-11-01 ~ 2021-02-28 |
| Salil Mathew | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda T Mathew Md | 228 Deerbrooke Circle, Southington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mathew Alias Do | 5 King Arthur Way Apt 2, Newington, CT 06111-2228 | Controlled Substance Registration for Practitioner | 2011-11-07 ~ 2013-02-28 |
| Anil Mathew Md | 228 Deerbrooke Circle, Soutington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on TRINI A MATHEW.
| 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).