ADAM T. TYSON (Credential# 1053584) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ADAM T. TYSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051539. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955. The current status is active.
| Licensee Name | ADAM T. TYSON |
| Credential ID | 1053584 |
| Credential Number | 1.051539 |
| Credential Type | Physician/Surgeon |
| Business Address |
263 Farmington Ave Mc-3955 Farmington CT 06030-3955 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-12-24 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 476499 | CSP.0041861 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-08-06 | 2011-11-02 - 2013-02-28 | INACTIVE |
| Street Address | 263 FARMINGTON AVE MC-3955 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-3955 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kiranmayi Muddasani | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2013-04-26 ~ 2015-02-28 |
| Jeffrey Wu | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Physician/surgeon | 2012-10-25 ~ 2013-07-31 |
| Sarah D Treter | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2011-06-15 ~ 2013-02-28 |
| Anne M Suskind | 263 Farmington Ave Mc-3955, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Cybele Pacheco | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2009-03-02 ~ 2011-02-28 |
| Usman Waheed | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2008-03-03 ~ 2009-02-28 |
| Aaron Reiter | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2007-07-16 ~ 2008-02-29 |
| Deborah R Schnipper | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Rami Z Tabbarah | 263 Farmington Ave Mc-3955, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Amanda S Ayerd | 263 Farmington Ave Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2006-12-11 ~ 2007-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Xuan M Luu Md | 263 Farmington Avenue Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2013-06-07 ~ 2015-02-28 |
| Andrew S Nisbet | 262 Farmington Avenue Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Alisa M.d. Berger | 263 Farmington Ave Mc 3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2007-03-28 ~ 2008-02-29 |
| Carl K Gjertson | Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter C Albertsen | Uconn Health Center, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce M Brenner | 263 Farmington Ave, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Michael S Dahn Md | Uconn Health Ctr, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lori L Wilson Md | 263 Farmington Avenue, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2011-03-17 ~ 2013-02-28 |
| Tamar Lipof | 263 Farmington Avenue Mc-3955, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Yuri W Novitsky Md | 263 Farmington Ave, Farmington, CT 06030-3955 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Find all Licenses in zip 06030-3955 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeremiah H Tyson | 3220 Woodrow St, Memphis, TN 38127-6660 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tyson D. Hale | 1241 Saddle Club Dr, Kerrville, TX 78028-8035 | Physician/surgeon | ~ |
| Adam R Kolker | 710 Park Ave, New York, NY 10021-4944 | Physician/surgeon | 1996-03-29 ~ 1996-09-30 |
| Adam J Davis | 25 Sonn Drive, Rye, NY 10580 | Physician/surgeon | 2005-03-16 ~ 2006-04-30 |
| Adam J Elias | 10 Dodier Ct, Merrimack, NH 03054 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Adam L Ackerman | 22 Cassway Rd, Woodbridge, CT 06525-1215 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Adam Goldyne Md | 308 W 106th St # 2r, New York, NY 10025 | Physician/surgeon | 2004-02-11 ~ 2005-03-31 |
| Adam Critchfield | 454 Manhattan Ave, New York, NY 10026-1088 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Scott Adam Hopkins | 99 S Clinton Ave, Bay Shore, NY 11706 | Physician/surgeon | ~ |
| Adam M Klein Md | 94 Rvane St, Fairfield, CT 06430 | Physician/surgeon | 2002-08-16 ~ 2003-08-31 |
Please comment or provide details below to improve the information on ADAM T. TYSON.
| 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).