CHARLES B EKANEM (Credential# 1068869) 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.
CHARLES B EKANEM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052367. 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 9 Hilldale Road, West Hartford, CT 06117. The current status is active.
Licensee Name | CHARLES B EKANEM |
Credential ID | 1068869 |
Credential Number | CSP.0052367 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
9 Hilldale Road West Hartford CT 06117 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2012-05-07 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1053583 | 1.050779 | Physician/Surgeon | 2012-04-03 | 2019-10-01 - 2020-09-30 | ACTIVE |
Street Address | 9 HILLDALE ROAD |
City | WEST HARTFORD |
State | CT |
Zip Code | 06117 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
Find all Licenses in zip 06117 |
City | WEST HARTFORD |
Zip Code | 06117 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Charles M Zatzkin | 391 E Putnam Ave, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Charles E Ray Dds | 46 Charcoal Ave, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Charles J Rehkamp | P O Box 488, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 1995-03-23 ~ 1996-02-28 |
Charles R Watson Md | Sunrise, FL 33323 | Controlled Substance Registration for Practitioner | 2009-03-05 ~ 2011-02-28 |
Charles J Slagle | 183 E Putnam Ave, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 1994-02-01 ~ 1996-02-01 |
Charles I Hyde | 788 Woodland Ave, Oradell, NJ 07649-1432 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Charles J Adelmann Md | 761 Main Ave Ste 201, Norwalk, CT 06851-1005 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Charles B Baker Md | 400 Mansfield St, New Haven, CT 06511-2023 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Charles M Stuhr | 783 Danbury Rd, Wilton, CT 06897-5025 | Controlled Substance Registration for Practitioner | 2019-02-11 ~ 2021-02-28 |
Charles V Wahlberg Jr | 57 Walnut St, New Britain, CT 06051 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
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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).