NATALIE Y. TIDWELL MD (Credential# 942811) 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, 2015. The license status is INACTIVE.
NATALIE Y. TIDWELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047952. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 2337 Canal Dr, Niceville, FL 32578. The current status is inactive.
| Licensee Name | NATALIE Y. TIDWELL MD |
| Credential ID | 942811 |
| Credential Number | CSP.0047952 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2337 Canal Dr Niceville FL 32578 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-07-13 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 923236 | 1.048717 | Physician/Surgeon | 2010-05-11 | 2013-08-01 - 2014-07-31 | INACTIVE |
| Street Address | 2337 canal dr |
| City | niceville |
| State | FL |
| Zip Code | 32578 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacy A Head | 2050 Kildare Circle, Niceville, FL 32578 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Chenoa Joanne Welch | 2011 Kildare Circle, Niceville, FL 32578 | Emergency Medical Technician | ~ |
| Chalee Ligon | 1012 Napa Way, Niceville, FL 32578 | Registered Nurse | 2017-09-11 ~ 2018-03-31 |
| Pamela J Reidy | P.o. Box 5065, Niceville, FL 32578 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Christopher N Mcandrew | 124 Meadow Woods Ln, Niceville, FL 32578 | Engineer-in-training | 2006-05-09 ~ 2016-05-09 |
| Disabled Police Officers of America Inc | 1697 Vine Ave, Niceville, FL 32578 | Public Charity | 2012-06-01 ~ 2013-11-30 |
| Karen S Riordan | 202 Yacht Club Dr, Niceville, FL 32578 | Registered Nurse | 2012-12-01 ~ 2013-11-30 |
| Carol B Rasor | 1634 Oakmont Circle, Niceville, FL 32578 | Registered Nurse | 2003-03-06 ~ 2010-04-30 |
| Tonya L Crain | 118 Jones, Niceville, FL 32578 | Licensed Practical Nurse | 2006-05-30 ~ 2006-12-31 |
| Brenda P Powell | 1600 27th St, Niceville, FL 32578 | Licensed Practical Nurse | 1993-04-23 ~ 1994-01-31 |
| Find all Licenses in zip 32578 | |||
| City | niceville |
| Zip Code | 32578 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + niceville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan D Tidwell | 43 Seminole St, Hamden, CT 06518-2115 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Natalie S Uy | 78 Olive St Apt 323, New Haven, CT 06511-6986 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Natalie Uy | 111 Park St Apt 9e, New Haven, CT 06511-5432 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie M Campo Md | 916 Gilmore Ave, Nashville, TN 37204-2613 | Controlled Substance Registration for Practitioner | 2010-03-12 ~ 2011-02-28 |
| Natalie Galanina | 64 Robbins St, Waterbury, CT 06708-2600 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Natalie P Pauli Md | 19 Hepburn Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Natalie M March | 104 Westland Rd, Avon, CT 06001-2349 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie Tumeniuk | 21 W Clark St, Milford, CT 06460-2517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie Lourenco Pa | 103 Russell Rd, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natalie A Laucius | 227 Church St Apt 11h, New Haven, CT 06510-1823 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).