DAVID L BLACK (Credential# 1168136) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 17, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
DAVID L BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054858. The credential type is controlled substance registration for practitioner. The effective date is June 17, 2013. The expiration date is February 28, 2015. The business address is 31 Old Nursery Drive, Wilton, CT 06897. The current status is inactive.
| Licensee Name | DAVID L BLACK |
| Credential ID | 1168136 |
| Credential Number | CSP.0054858 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
31 Old Nursery Drive Wilton CT 06897 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-06-17 |
| Effective Date | 2013-06-17 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1159816 | 1.052021 | Physician/Surgeon | 2013-05-24 | 2014-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 31 Old Nursery Drive |
| City | Wilton |
| State | CT |
| Zip Code | 06897 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | Wilton |
| Zip Code | 06897 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Wilton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David A Fass Dds | 2465 Black Rd Turnpike, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 1996-09-01 ~ 1998-02-28 |
| William Harless | 100 Black Rock Lighthouse Road, Black Rock, NS B1X 2A3 | Controlled Substance Registration for Practitioner | 2019-05-07 ~ 2021-02-28 |
| Eric W Black | 365 Mather St Apt 197, Hamden, CT 06514-3151 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan D Black | 120 Knollwood Dr, New Haven, CT 06515-2459 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eleanore K Black | 38 Volunteer Ln Apt 4, Greenwich, CT 06830-5414 | Controlled Substance Registration for Practitioner | 2020-06-04 ~ 2021-02-28 |
| Donald R Black Md | 3618 Pinetree Ave Sw, Concord, NC 28027-2712 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| James C Black Md | 68 S Main St, West Hartford, CT 06107-2445 | Controlled Substance Registration for Practitioner | 2011-03-10 ~ 2013-02-28 |
| Thomas C Black | 61 Grouse Lane, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ryan W. T. Black | 400 Nelson Ave, Cliffside Park, NJ 07010-1817 | Controlled Substance Registration for Practitioner | 2017-09-09 ~ 2019-02-28 |
| Joshua S Black | 109 Church St Unit 609, New Haven, CT 06510-3012 | Controlled Substance Registration for Practitioner | 2009-10-07 ~ 2011-02-28 |
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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).