JUSTIN R. BLOOM (Credential# 924581) 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.
JUSTIN R. BLOOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047524. 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 Po Box 806, East Windsor, CT 06088. The current status is active.
| Licensee Name | JUSTIN R. BLOOM |
| Credential ID | 924581 |
| Credential Number | CSP.0047524 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 806 East Windsor CT 06088 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-04-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 917568 | 2.010228 | Dentist | 2010-03-26 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | PO Box 806 |
| City | East Windsor |
| State | CT |
| Zip Code | 06088 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Selamawet G Minale | 154 South Water Street, East Windsor, CT 06088 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Burger King · Fps Inc | 172 Bridge St, East Windsor, CT 06088 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Marissa R Hing | 52 Scantic Rd, East Windsor, CT 06088 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Infoshred LLC | 3 Craftsman Rd, East Windsor, CT 06088 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sofia's Restaurant · Sofias | 136 Prospect St, East Windsor, CT 06088 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Mercury Fuel Service Inc | 11 South Main St, East Windsor, CT 06088 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nonna's Pizza Restaurant | 140 South Main St, East Windsor, CT 06088 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Harken's Market | 287 South Main St, East Windsor, CT 06088 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Dennis C Coscina | 211 Main St, East Windsor, CT 06088 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Northeast Lamp Recycling Inc | 250 Main St, East Windsor, CT 06088 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06088 | |||
| City | East Windsor |
| Zip Code | 06088 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + East Windsor |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter E Bloom Jr | 25 Newell Rd Ste E36, Bristol, CT 06010-5132 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Todd E Bloom | 760 Kings Hwy W, Southport, CT 06890-1107 | Controlled Substance Registration for Practitioner | 2019-04-01 ~ 2021-02-28 |
| Gregory S Bloom Md | 112 Quarry Rd Ste 400, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David I Bloom Md | 2 Bridge Lane, Enfield, CT 06083 | Controlled Substance Registration for Practitioner | ~ |
| Katherine A Bloom | 55 Walls Drive, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey N Bloom Md | 3020 Westchester Ave Ste 402, Purchase, NY 10577 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Maxine Bloom | 14 Bauer Place, Westport, CT 06880-2138 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David I Bloom Jr | 1060 Day Hill Road, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin J Cohen | 835 Mix Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-09-10 ~ 2006-02-28 |
| Justin A Cross Md | Po Box 362, Kedrsavge, NH 03847 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Please comment or provide details below to improve the information on JUSTIN R. BLOOM.
| 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).