DANIEL M AVERY (Credential# 1281567) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 7, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
DANIEL M AVERY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059953. The credential type is controlled substance registration for practitioner. The effective date is May 7, 2015. The expiration date is February 28, 2017. The business address is Uconn School of Medicine- Orthopedic Sports Medici, Farmington, CT 06030-0001. The current status is inactive.
| Licensee Name | DANIEL M AVERY |
| Credential ID | 1281567 |
| Credential Number | CSP.0059953 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Uconn School of Medicine- Orthopedic Sports Medici Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2015-05-07 |
| Effective Date | 2015-05-07 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1277315 | 1.054472 | Physician/Surgeon | 2015-08-04 | 2015-08-04 - 2016-08-31 | INACTIVE |
| 1281566 | CSP.0059952-HOSP | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS | - | PENDING |
| Street Address | UCONN SCHOOL OF MEDICINE- ORTHOPEDIC SPORTS MEDICI |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Avery S Grauer Md | 21 Rogers Rd, Hamden, CT 06517-3533 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Letrisa M Miller | 95 Avery St, Manchester, CT 06042-1761 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aerial A Avery | 133 Woodland St Apt 9, Hartford, CT 06105-1222 | Controlled Substance Registration for Practitioner | 2009-03-24 ~ 2011-02-28 |
| Marjorie Szeto Md | 12 Avery Pl, Westport, CT 06880-3223 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam A Ofer Md | 12 Avery Place, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fernando F Illescas Md | 17 Avery Road, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John C Robinson Md | 130 Avery Heights, Hartford, CT 06106-4264 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| J T Mohler-avery Aprn | 281 Hartford Turnpike Rd Suite 306, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2011-09-08 ~ 2013-02-28 |
| Nicholas P Pietris | 2268 Daniel Island Drive, Daniel Island, SC 29492 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Daniel Southern Md | Daniel Owen Smith Southern, M.d., Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).