DOUGLAS M HOUSMAN MD (Credential# 1026904) 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.
DOUGLAS M HOUSMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051124. 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 1075 Chase Pkwy, Waterbury, CT 06708-2948. The current status is active.
| Licensee Name | DOUGLAS M HOUSMAN MD |
| Credential ID | 1026904 |
| Credential Number | CSP.0051124 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1075 Chase Pkwy Waterbury CT 06708-2948 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-08-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1001639 | 1.050135 | Physician/Surgeon | 2011-07-14 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 1075 CHASE PKWY |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2948 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Consuelito Medrano | 1075 Chase Pkwy, Waterbury, CT 06708-2948 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Harold Leever Regional Cancer Center Inc (the) · Harold Leever Regional Cancer Center, Inc., The | 1075 Chase Pkwy, Waterbury, CT 06708-2948 | Outpatient Clinic | 2016-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Smilow Cancer Hospital | 1075 Chase Pkwy Ste B, Waterbury, CT 06708-2948 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| St. Mary's Hospital Oncology Center · Joseph J Bowen, Md Medical Director | 1075 Chase Pkwy Ste A, Waterbury, CT 06708-2948 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Victor A Chang Md | 1075 Chase Pkwy Ste B, Waterbury, CT 06708-2948 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cheyenne Douglas | 25 West Rd, Canton, CT 06019-3739 | Controlled Substance Registration for Practitioner | 2017-08-09 ~ 2019-02-28 |
| Douglas A Reed | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Douglas Ziedonis Md | Cmhc, New Haven, CT 06508 | Controlled Substance Registration for Practitioner | 1999-04-09 ~ 2000-02-28 |
| Douglas J Davis | 30 Kneeland Rd, New Haven, CT 06512-5005 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Easton R Douglas Dds | 217 Deerfield Rd, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Michael D Tabak | 6 Douglas Dr, Cromwell, CT 06416-1635 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Douglas Perry Md | 780 Farmington Ave, Bristol, CT 06010-3920 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Shanise Perez | 17 Douglas Rd Apt 312, Whitinsville, MA 01588-2028 | Controlled Substance Registration for Practitioner | 2019-07-22 ~ 2021-02-28 |
| Douglas Astion Do | Po Box 1707, Stockbridge, MA 01262 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Douglas A Berv Md | 60 Washington Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).