NATHAN E MUMFORD (Credential# 944212) 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.
NATHAN E MUMFORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048081. 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 20 Great Plain Dr, Plainville, CT 06062-1569. The current status is active.
| Licensee Name | NATHAN E MUMFORD |
| Credential ID | 944212 |
| Credential Number | CSP.0048081 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 Great Plain Dr Plainville CT 06062-1569 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-07-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 995302 | 2.010532 | Dentist | 2011-06-03 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 20 GREAT PLAIN DR |
| City | PLAINVILLE |
| State | CT |
| Zip Code | 06062-1569 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caesar O. Bangloy | 6 Great Plain Dr, Plainville, CT 06062-1569 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Justin S Kababik | 22 Great Plain Dr, Plainville, CT 06062-1569 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Sara L Maier | 24 Great Plain Dr, Plainville, CT 06062-1569 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Julie S Sheen | 2 Great Plain Dr, Plainville, CT 06062-1569 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chad R Walker | 38 Great Plain Dr, Plainville, CT 06062-1569 | Emergency Medical Technician | 2013-11-27 ~ 2016-10-01 |
| Amylynn Thompson | 34 Great Plain Dr, Plainville, CT 06062-1569 | Licensed Clinical Social Worker | ~ |
| Diane M Walker | 38 Great Plain Dr, Plainville, CT 06062-1569 | Registered Nurse | 2014-09-01 ~ 2015-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tammy R Lamb · O | 23 Rockwell Ave, Plainville, CT 06062 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Melissa St. Jean | 26 Maxine Road, Plainville, CT 06062 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| John G Stewart | 100 Northwest Drive, Plainville, CT 06062 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Emma L Andrukat | 492 East St, Plainville, CT 06062 | Asbestos Consultant-project Monitor | 2020-08-01 ~ 2021-07-31 |
| Interstate Aviation Inc | Robertson Airport, Plainville, CT 06062 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Richard B Ahrens Jr | 16 Mohawk Rd, Plainville, CT 06062 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Interstate Aviation Inc | 62 Johnson Ave, Plainville, CT 06062 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Leone M Longo | 356 Farmington Ave, Plainville, CT 06062 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| For Goodness Sake Inc | 123a Whiting Street, Plainville, CT 06062 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Kathleen A Marsan | 44 Shuttlemeadow Rd, Plainville, CT 06062 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06062 | |||
| City | PLAINVILLE |
| Zip Code | 06062 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PLAINVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Mumford Md | 14 Grimes Rd, Old Greenwich, CT 06870 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Guita Epstein Wilf Md | 93 Mumford Rd, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sriharsha Doddaballapur Subramanya | Mumford Lane, Lexington, KY 40513 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert S Mumford | 270 Farmington Ave, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Nathan W Liu | 330 Nob Hill Dr, Elmsford, NY 10523-2435 | Controlled Substance Registration for Practitioner | 2014-07-31 ~ 2015-02-28 |
| Nathan P Lemay | 14 Equestrian Way, Scarborough, ME 04074-9631 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nathan H Brewer | 10 Grace Ln, Killingworth, CT 06419-1312 | Controlled Substance Registration for Practitioner | 2011-07-21 ~ 2013-02-28 |
| Nathan Selsky | 36 Neptune Ave, Norwalk, CT 06854 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nathan B Pliam Md | 47 Carter Rd, Kent, CT 06757 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Nathan Clendenen | 46 Andrews Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on NATHAN E MUMFORD.
| 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).