MARTIN T FORREST DO (Credential# 1036458) 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.
MARTIN T FORREST DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051523. 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 620 S Sandlake Ct, Mount Dora, FL 32757-6084. The current status is inactive.
| Licensee Name | MARTIN T FORREST DO |
| Credential ID | 1036458 |
| Credential Number | CSP.0051523 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
620 S Sandlake Ct Mount Dora FL 32757-6084 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-03-07 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 537975 | 1.000212-DO | Physician/Surgeon | 1986-06-19 | 2013-03-01 - 2014-02-28 | INACTIVE |
| 143278 | CSP.0027503 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE | |
| 156777 | CSP.0014723 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 620 S Sandlake Ct |
| City | Mount Dora |
| State | FL |
| Zip Code | 32757-6084 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Miles Lee Beach | 325 West 11th Avenue, Mount Dora, FL 32757 | Architect | 2020-08-01 ~ 2021-07-31 |
| Zmg Construction Inc | 1930 N. Donnelly Street, Mt. Dora, FL 32757 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Keisha J Soto | 3001 Northland Rd #46, Mount Dora, FL 32757 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Courtney Bovee | 727 Helen Street, Mt Dora, FL 32757 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Pablo Medina Jr. | 5044 Gandross Ln, Mount Dora, FL 32757 | Licensed Practical Nurse | ~ |
| Lawrence J Morey Jr | 690 N Sunset Dr, Mt Dora, FL 32757 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Lisa Hall | 1008 Bristol Lakes Road, Mount Dora, FL 32757 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Melissa Santos | 3460 Lake Center Dr, Mount Dora, FL 32757 | Occupational Therapist | 2019-12-09 ~ 2021-07-31 |
| Jesse H Piechowski | 1307 East 5th Ave, Mount Dora, FL 32757 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Dawn M Licari | 5048 Gandross Lane, Mount Dora, FL 32757 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Find all Licenses in zip 32757 | |||
| City | Mount Dora |
| Zip Code | 32757 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Mount Dora |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John K Forrest | 115 Fennbrook Dr, Hamden, CT 06517-1607 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roy C Forrest Md | 40 Jeffrey Lane, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| John N Forrest Jr | Yale School of Medicine, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Candace Bignell Aprn | 13-8 Forrest Glen Circle, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Forrest M Stewart | Umass Memorial Oned. Center, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Forrest Mahony | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
| Forrest G Hill | 263 Farmington Ave, Farmington, CT 06030-1930 | Controlled Substance Registration for Practitioner | 2009-03-02 ~ 2011-02-28 |
| Martin B Cohen Md | 19 Bradhurst Ave Ste 700, Hawthorne, NY 10532 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Susanne Pk Martin | 19 Oak Ridge Rd, Branford, CT 06405-4621 | Controlled Substance Registration for Practitioner | 2011-03-25 ~ 2013-02-28 |
| Martin R Roco | 265 S Vine St, Anaheim, CA 92805 | Controlled Substance Registration for Practitioner | 2013-04-09 ~ 2015-02-28 |
Please comment or provide details below to improve the information on MARTIN T FORREST DO.
| 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).