This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Victor Paul | 50 Perkins Farm Drive, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2020-06-24 ~ 2021-02-28 |
| John Stambaugh | 9 Ashby St, Mystic, CT 06355-2423 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph S Casaly | 100 Perkins Farm Dr., Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2020-03-25 ~ 2021-02-28 |
| Christopher M Ficke | 11 Nauyaug Point Rd, Mystic, CT 06355-3232 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| Warren Fields | Mystic Medical Group, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah Elizabeth Branson | 31 Bruggeman Pl, Mystic, CT 06355-1901 | Controlled Substance Registration for Practitioner | 2020-02-03 ~ 2021-02-28 |
| Jason Mark Ziegler | 519 New London Rd., Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-10-01 ~ 2021-02-28 |
| Elizabeth Luketich | 108 Hatch St, Mystic, CT 06355-3015 | Controlled Substance Registration for Practitioner | 2019-08-12 ~ 2021-02-28 |
| Cullen Taplin | 30 Washington St, Mystic, CT 06355-2815 | Controlled Substance Registration for Practitioner | 2019-06-24 ~ 2021-02-28 |
| Tyler Maddox | 11 Allen St Apt 3, Mystic, CT 06355-2972 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
| James Vincent Dreier | 168 Pequot Ave, Mystic, CT 06355-1729 | Controlled Substance Registration for Practitioner | 2019-04-25 ~ 2021-02-28 |
| Susan M Donohue | 191 Darthmouth Dr, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-04-20 ~ 2021-02-28 |
| Joanna L Breton | 23 Marjorie St, Mystic, CT 06355-3627 | Controlled Substance Registration for Practitioner | 2019-03-10 ~ 2021-02-28 |
| Sarita B Patel | 47 Topsail Ln, Mystic, CT 06355-2142 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| John A Hallberg | 2 Ice Pond Road, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eugene A Winchester | Eugene Winchester, Md, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Elena Schjavland | 20 Burrows St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James Scarles | Hartford Healthcare, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lynda M Lombardi | 65 Ensign Dr, Mystic, CT 06355-1530 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James P Watts | 85 Denison Ave, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patricia L Andersen-beaman Dvm | 35 Fishtown Lane, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric A Balch Md | 203 Masons Island Road, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Frank J Toole IIi | 375 Allyn St Unit 5, Mystic, CT 06355-1665 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neer Zeevi | 175 Long Wharf Dr, Mystic, CT 06355-3135 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brenda K Balch Md | 203 Masons Island Rd, Mystic, CT 06355-2955 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adriana Herrera Md | 256 Cedar Road, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Annette L Headley Md · Seaport Walk-in Medical Center | 56 Whitehall Avenue, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A Schwindt Md | 23 Clara Dr Ste 204, Mystic, CT 06355-1959 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Juan C Delprado | 64 N Stonington Rd, Mystic, CT 06355-3604 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark Thomas Fallon | 117 Cow Hill Rd, Mystic, CT 06355-1449 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian L Williams Md | 100 Mistuxet Ave, Mystic, CT 06355-3005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan M Turley | 180 High Meadow Lane, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kitima Boonvisudhi | 57 Windwood Way, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dianne Marie Beal | 144 Whitehall Ave, Mystic, CT 06355-1968 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Feltes | 107 Wilcox Road Suite 115, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer L Hardy | 200 Sandy Hollow Rd, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Claire Verdier | 99 Warren Ave, Mystic, CT 06355-2135 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cheryl Monteiro Dvm | 151 Cow Hill Road, Mystic, CT 06355-0613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah E.s. Overmoyer | 686 Noank Rd, Mystic, CT 06355-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Prior L Parker Md | Thames Eye Group PC, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas M Ceddia Md | 216 Ensign Dr, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Demetrios Petropoulos Dmd | 743 River Road, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathleen F Gauthier Lnm | 176 Shewville Rd, Mystic, CT 06355-1210 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Owen R Ehrlich Md | 92 Little Gull Lane, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cedric Benson | 50 Perkins Farm Drive Apt 427, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary G Boy | 237 Clift St, Mystic, CT 06355-1726 | Controlled Substance Registration for Practitioner | 2018-12-20 ~ 2021-02-28 |
| Charles F Lanzillo | Thames Eye Group, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Robert Banas Aprn | 4 Nauyaug Rd North, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Judy D Mamaclay Md | 44 Ensign Drive, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Wailang Lau | 5 Holmes St # E13, Mystic, CT 06355-2628 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Taylor L Hotchkiss Md | 61 High Meadow Ln, Mystic, CT 06355-1649 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hubert S Bush Jr | 251 High Meadow La., Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Nicholas R Salerno Md | 26 Denison Ave, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Roger A Graham Md | 761 River Road, Mystic, CT 06355-1234 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Bruce A Berlow Md | 23 Clara Dr #204, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Christina G Falvello Pa-c | 22 Steamboat Wharf, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Marykate Dunleavy Pa | 22 West Mystic Ave 1st Flr, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2009-03-31 ~ 2011-02-28 |
| Martin Duke Md | 186 Jerry Browne Rd Apt 5416, Mystic, CT 06355-4004 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Norman F Boas Md | 6 Brandon Lane, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Herbert Koops Md | 39 Chippechaug Tr, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Henry B Freye Md | 22 Elizabeth Court, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Richard L Iammatteo Md | 23 Clara Dr, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2002-01-10 ~ 2003-02-28 |
| Suzanne Russo | 424 Judson Ave, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2001-03-29 ~ 2002-02-28 |
| Michael C Cabassa Dds | 492 Judson Ave, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2006-03-27 ~ 2007-02-28 |
| Thomas E Wright Dmd | 9 Quarry Rd Ext, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| D Joseph Pastorelle Jr | 8 Canberra Court, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Nancy G Dixon Md | 218 High Meadow Lane, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| David T Read | 37 Money Point Road, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 1993-03-11 ~ 1995-04-01 |
| Mark J Integlia | 23 Oakwood Rd, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 1993-11-02 ~ 1995-11-01 |
| Cynthia H Meyers-seifer | 115 Library St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 1993-02-17 ~ 1995-01-01 |
| Seaside Regional Center At Mystic | Mystic Education Center, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| John J Nelson | 200 Sandy Hollow Road, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher M West | 117 Cow Hill Road, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally M Vail Dds | 64 Washington St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Claudette G Faucher-charles | 20 Pleasant St, Mystic, CT 06355-1910 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Doron J Ber | 23 Clara Drive, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Madlene M Eskarose Dmd | 12 Roosevelt Ave, Mystic, CT 06355-2809 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gina L. Williams Md | 100 Mistuxet Ave, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William B Ware | 23 Clara Drive, Mystic, CT 06355-0642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul J Licata Do | 21 Whitehall Lndg, Mystic, CT 06355-1926 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph E Kuzmic Dds | 117 Cow Hill Road, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda J Robson Dds | 64 Washington St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Allison D Tuttle | 55 Coogan Blvd, Mystic, CT 06355-1927 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alan Armstrong Pa | 19 Elm St, Mystic, CT 06355-2443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Francis Falck Jr | 35 Washington St, Mystic, CT 06355-2816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paula M Renzi | 44 Maritime Dr, Mystic, CT 06355-1958 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anne M Whitford | 17 Laura Ave, Mystic, CT 06355-3628 | Controlled Substance Registration for Practitioner | 2015-02-11 ~ 2017-02-28 |
| Jacqueline Campisi | Po Box 475, Mystic, CT 06355-0475 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Thomas Kucharchik | 14 Beach Dr, Mystic, CT 06355-3291 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth P Sunshine Dds | 5 Exeter Ct, Mystic, CT 06355-3112 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gladys G Dychiao Md | 44 Ensign Dr, Mystic, CT 06355-1528 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Dennis J Cambria | 119 River Road, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Caryn Nesbitt Md | 5 School House Rd, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| J Andrew Hallberg Md | 56 Whitehall Ave, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Kelly Johnson Powers Md | 26 School St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| George W Palmer Md | 41 East Main St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Robert A Caruso Jr. | 31 Steamboat Wharf, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Donald W Cooper Md | 75 Algonquin Dr, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Richard M Barry | 119 River Rd, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 1994-06-13 ~ 1996-07-01 |
| Patrice Clor Aprn | 9 Rossie St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 1995-09-19 ~ 1996-02-28 |