MATTHEW P WARD (Credential# 1182638) 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.
MATTHEW P WARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056046. 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 47 Keith Cir, Killingworth, CT 06419-1453. The current status is active.
| Licensee Name | MATTHEW P WARD |
| Credential ID | 1182638 |
| Credential Number | CSP.0056046 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
47 Keith Cir Killingworth CT 06419-1453 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-09-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1178722 | 23.002963 | Physician Assistant | 2013-09-06 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew P Ward | 23 Cross Lane, Old Lyme, CT 06371 | Emergency Medical Responder | ~ |
| Street Address | 47 KEITH CIR |
| City | KILLINGWORTH |
| State | CT |
| Zip Code | 06419-1453 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shelby Van Huysen | 49 Keith Cir, Killingworth, CT 06419-1453 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Nancy K Butler · Kerr | 37 Keith Cir, Killingworth, CT 06419-1453 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Eileen A Obrien | 9 Keith Cir, Killingworth, CT 06419-1453 | Dental Hygienist | 2019-08-01 ~ 2020-07-31 |
| Zoli Birtha | 55 Keith Cir, Killingworth, CT 06419-1453 | Heating, Piping & Cooling Unlimited Contractor | 2019-09-01 ~ 2020-08-31 |
| Catherine E Mcmahon | 53 Keith Cir, Killingworth, CT 06419-1453 | Hairdresser/cosmetician | 2019-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
| Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06419 | |||
| City | KILLINGWORTH |
| Zip Code | 06419 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KILLINGWORTH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace Y Cha | 38 Ward St Apt 4, Middletown, CT 06457-4139 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bridget Ward | 6 Moore St, Darien, CT 06820-3925 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeremiah J Keefe | 3 Ward St, Norwalk, CT 06851-2714 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith L Ward | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Douglas J Ward Pa | 24 Preston Rd, Trumbull, CT 06611-1818 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Suzette M Ward | 208 Route 81, Killingworth, CT 06419-1422 | Controlled Substance Registration for Practitioner | 2019-03-11 ~ 2021-02-28 |
| Keisha A Ward | 54 Barbey St, Brooklyn, NY 11207-2136 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Peter A Dicorleto Md | 1832 Ward Dr, Murfreesboro, TN 37129 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Che Ward | 240 Felt Road, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicholas S Ward Md | 54 Woodmere Road, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
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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).