MICHAEL B BLOTNER MD (Credential# 913881) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MICHAEL B BLOTNER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047233. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 4 Ploughmans Bush, Bronx, NY 10471-3907. The current status is active.
| Licensee Name | MICHAEL B BLOTNER MD |
| Credential ID | 913881 |
| Credential Number | CSP.0047233 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4 Ploughmans Bush Bronx NY 10471-3907 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-03-29 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552138 | 1.034542 | Physician/Surgeon | 1995-06-09 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 4 PLOUGHMANS BUSH |
| City | BRONX |
| State | NY |
| Zip Code | 10471-3907 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa Britvan | Apt 22s, Bronx, NY 10471 | Master's Level Social Worker | ~ |
| Debora L Allen | 650 W 261st St, Bronx, NY 10471 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Chris Castillo | 5676 Riverdale Ave Ste 104, Bronx, NY 10471 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Jayson Lance Rodriguez Perez | 450 West 261 Street, Bronx, NY 10471 | Licensed Practical Nurse | ~ |
| Marijka Bobyr | 5840 Liebig Avenue, Riverdale, NY 10471 | Registered Nurse | 2020-02-03 ~ 2021-02-28 |
| James P Sullivan | 6300 Riverdale Ave 5j, Bronx, NY 10471 | Tax Preparer/facilitator Permit | 2019-12-31 ~ 2021-12-31 |
| Judah Schorr | 2 Rivercrest Road, Riverdale, NY 10471 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Joanne Oropeza | 4901 Henry Hudson Parkway, Apt. 9b, Bronx, NY 10471 | Notary Public Appointment | 2019-12-02 ~ 2024-12-31 |
| Margaret M. Clarke | 5438 Valles Ave, Riverdale, NY 10471 | Notary Public Appointment | 2019-11-20 ~ 2024-11-30 |
| Esther Turkel | 5244 Blackstone Avenue, Bronx, NY 10471 | Notary Public Appointment | 2013-06-19 ~ 2018-06-30 |
| Find all Licenses in zip 10471 | |||
| City | BRONX |
| Zip Code | 10471 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRONX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael K Hwang Dmd | Michael K Hwang, Dmd, LLC, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Ring Md | Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Michael Murphy Md | P O Box 484, Danbury, CT 06813 | Controlled Substance Registration for Practitioner | 1996-09-18 ~ 1998-02-28 |
| Michael J Lim | 300 Seaside Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael B. Tom | 286 Overlook Dr, Greenwich, CT 06830-6720 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Ono | 140 Huyshope Ave, Apt 514, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Lao | 195 Hartford Rd Apt C32, New Britain, CT 06053-1519 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael M Caruso | Po Box 988, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael M Talty Pa | Wingdale, NY 12594 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on MICHAEL B BLOTNER MD.
| 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).