MAX M ENKIN (Credential# 1384756) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MAX M ENKIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064217. The credential type is controlled substance registration for practitioner. The effective date is June 1, 2019. The expiration date is February 28, 2021. The business address is 21 Baldwin St, Peabody, MA 01960-1420. The current status is active.
Licensee Name | MAX M ENKIN |
Credential ID | 1384756 |
Credential Number | CSP.0064217 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
21 Baldwin St Peabody MA 01960-1420 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-10-19 |
Effective Date | 2019-06-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-06-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1375910 | 2.011730 | Dentist | 2016-10-05 | 2019-07-01 - 2020-06-30 | ACTIVE |
Street Address | 21 BALDWIN ST |
City | PEABODY |
State | MA |
Zip Code | 01960-1420 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Connecticut American Construction Corporation | 3 Mount Pleasant Drive, Peabody, MA 01960 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Michael J Harrington | 5 Columbus Rd, Peabody, MA 01960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Jeffrey Christian Holmes | 7 Silver Leaf Way, Peabody, MA 01960 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Karen S Devaney | 8 Crowninshield Street #208, Peabody, MA 01960 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
James W Freeman | 13 Abby Ellen Lane, Peabody, MA 01960 | Notary Public Appointment | 1996-11-07 ~ 2001-11-30 |
Amy S Chartier | 13 Overlook Trail, Peabody, MA 01960 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Ashley E Kilcommons | 16 Tara Road, Peabody, MA 01960 | Registered Nurse | 2017-11-01 ~ 2018-10-31 |
Robert M Gladstone | 4 Meade Street, West Peabody, MA 01960 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
Edward J Sheehan | 56 Proctor Circle, Peabody, MA 01960 | Pharmacy Technician | 2007-05-21 ~ 2008-03-31 |
Newton Property Services LLC · Olympic | 515 Lowell St, Peabody, MA 01960 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
Find all Licenses in zip 01960 |
City | PEABODY |
Zip Code | 01960 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PEABODY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Yi An | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Amy L Wisniewski | 222 Cox Rd, Portland, CT 06480-1327 | 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).