GARTH H BALLANTYNE MD (Credential# 923826) 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.
GARTH H BALLANTYNE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047481. 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 1 Sunset Beach Rd, Branford, CT 06405-5046. The current status is active.
| Licensee Name | GARTH H BALLANTYNE MD |
| Credential ID | 923826 |
| Credential Number | CSP.0047481 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Sunset Beach Rd Branford CT 06405-5046 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-04-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546211 | 1.026835 | Physician/Surgeon | 1985-10-17 | 2019-07-01 - 2020-06-30 | ACTIVE |
| 158244 | CSP.0017908 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-08-17 - 1995-07-01 | INACTIVE |
| Street Address | 1 SUNSET BEACH RD |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-5046 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Norma M Contois | 3 Sunset Beach Rd, Branford, CT 06405-5046 | Real Estate Salesperson | 2013-06-01 ~ 2014-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jing Guo | 209 Garth Rd Apt 3e, Scarsdale, NY 10583-8003 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Yasir Saleem | 155 Garth Rd, Manchester, CT 06040-5645 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Garth Oliver Md | 603 Savin Ave, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emily Garth | 140 Griswold Dr, West Hartford, CT 06119-1021 | Controlled Substance Registration for Practitioner | 2020-01-10 ~ 2021-02-28 |
| Garth N Graham | 365 Montauk Avenue, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Garth C Skoropowski | 9640 13th View Street, Unit A, Norfolk, VA 23503 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kathleen R Ballantyne · Ballantyne | 2 Valley Stream Dr, Cumberland, RI 02864 | Speech and Language Pathologist | 2007-04-27 ~ 2008-04-30 |
| Bernadette R Ballantyne | 140 Alden Drive, Guilford, CT 06437 | Certified Public Accountant Firm Permit | 1990-03-08 ~ 1990-12-31 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Please comment or provide details below to improve the information on GARTH H BALLANTYNE 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).