MATTHEW PAUL VAN TINE (Credential# 1394311) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 20, 2016. The license expiration date date is February 28, 2019. The license status is LAPSED.
MATTHEW PAUL VAN TINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064489. The credential type is controlled substance registration for practitioner. The effective date is December 20, 2016. The expiration date is February 28, 2019. The business address is 307 Wesmond Dr, Alexandria, VA 22305-3039. The current status is lapsed.
| Licensee Name | MATTHEW PAUL VAN TINE |
| Credential ID | 1394311 |
| Credential Number | CSP.0064489 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
307 Wesmond Dr Alexandria VA 22305-3039 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-12-20 |
| Effective Date | 2016-12-20 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1388255 | 23.003751 | Physician Assistant | 2016-12-16 | 2016-12-16 - 2017-12-31 | INACTIVE |
| Street Address | 307 WESMOND DR |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22305-3039 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura Brad Mills | 703 Manor Rd #202, Alexandria, VA 22305 | Physical Therapist | 2014-09-01 ~ 2015-08-31 |
| Robin A Roberts | 3204 Old Dominion Blvd, Alexandria, VA 22305 | Architect | 2003-12-12 ~ 2004-07-31 |
| Frankie E Jones · Davis | 3602 Edison Ave, Alexandria, VA 22305 | Licensed Practical Nurse | 1994-02-07 ~ 1994-11-30 |
| Xavier John | 3400 Russell Rd, Alexandria, VA 22305-1726 | Registered Nurse - Temporary | 2012-10-17 ~ 2013-02-14 |
| Valerie Larkin | 3201 Landover St Apt 902, Alexandria, VA 22305-1922 | Psychologist | 2013-09-01 ~ 2014-08-31 |
| Aaron W West | 3914 Charles Ave, Alexandria, VA 22305-2054 | Architect | ~ |
| Christopher F Tucker | 58 Ancell St, Alexandria, VA 22305-2501 | Architect | 2011-08-01 ~ 2012-07-31 |
| Jennifer Mikel Burns | 140 Sanborn Pl, Alexandria, VA 22305-2672 | Certified Public Accountant License | 2004-01-01 ~ 2004-12-31 |
| Crystal L Flowers | 200 Luna Park Dr Apt 132, Alexandria, VA 22305-3142 | Registered Nurse | 2010-08-01 ~ 2011-07-31 |
| Rita M Callaghan | 200 Luna Park Dr Apt 159, Alexandria, VA 22305-3144 | Registered Nurse | 2009-12-01 ~ 2010-12-31 |
| Find all Licenses in zip 22305 | |||
| City | ALEXANDRIA |
| Zip Code | 22305 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALEXANDRIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew D Paul | 69 Sand Pit Rd, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tine Vindenes | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
| Matthew B Palmer | CT | Controlled Substance Registration for Practitioner | ~ |
| Matthew J Finn | 18 W Elm St, New Haven, CT 06515-2129 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew Lin | 5 Van Winkle St, Bloomfield, NJ 07003 | Controlled Substance Registration for Practitioner | 2015-06-29 ~ 2017-02-28 |
| Matthew A Corvo | 16 Roseville Rd, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew D Vesely | 277 W Hill Rd, Stamford, CT 06902-1708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew J Lipshaw | 20 York St., New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Matthew D Merguerian | 114 Canner St Apt 2, New Haven, CT 06511-2202 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Matthew Gordon | 20 York St, New Haven, CT 06510-3220 | 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).