EILEEN M BUSH OD (Credential# 912362) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
EILEEN M BUSH OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047197. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 360 State Street, New Haven, CT 06510. The current status is inactive.
| Licensee Name | EILEEN M BUSH OD |
| Credential ID | 912362 |
| Credential Number | CSP.0047197 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
360 State Street New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-11-09 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 763389 | 3.002761 | Optometrist | 2008-09-22 | 2012-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 360 STATE STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evelyn C Abernathy | 360 State Street, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ahmad Nawaz | 360 State Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| William Mclaughlin | 360 State Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Soshian Sarrafpour | 360 State Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gary Altwerger | 360 State Street, New Haven, CT 06510-1025 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Erica Ann Bloomberg | 360 State Street, New Haven, CT 06511 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Shanti Narsibhai Patel | 360 State Street, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tabitha P Brunton | 360 State Street, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Marisa Esther Lee Kim | 360 State Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-27 ~ 2021-02-28 |
| Troy Edward Dominguez | 360 State Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank J Bush | 27 Hilliard St, Manchester, CT 06042 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy A Bush | 9198 Fair Oak Dr, Sherrills Ford, NC 28673-7288 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Michael B Blotner Md | 4 Ploughmans Bush, Bronx, NY 10471-3907 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hubert S Bush Jr | 251 High Meadow La., Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Carl Gage Bush Jr | 77 Butterworth Drive, Attleboro, MA 02703 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Ivelisse Rivera-godreau Md | 331 Bush Hill Rd, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary E Baldino Aprn | 20 Spice Bush Lane, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Colleen Bridget Fleming-damon | 121 Brimstone Hill Rd, Pine Bush, NY 12566-5470 | Controlled Substance Registration for Practitioner | 2019-10-15 ~ 2021-02-28 |
| Eileen F Keane | 374 Grand Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eileen S Wilentz Dvm | 82 Prospect St, New Hartford, CT 06057 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).