MATTHEW B.W. EDWARDS (Credential# 1425196) 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 B.W. EDWARDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065518. 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 55 Leslie Ln, Fairfield, CT 06824-1665. The current status is active.
| Licensee Name | MATTHEW B.W. EDWARDS |
| Credential ID | 1425196 |
| Credential Number | CSP.0065518 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
55 Leslie Ln Fairfield CT 06824-1665 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488449 | 1.057844-RES | Resident Physician | 2017-06-28 | 2020-06-28 - 2020-11-08 | ACTIVE |
| Street Address | 55 LESLIE LN |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-1665 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| J D Edwards Dds | 3 Robbins Dr, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 1993-07-16 ~ 1995-08-01 |
| Rachel Ng | 198 Edwards St Apt 4, New Haven, CT 06511-3702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marko Petrovic | 100 Edwards St Apt 3a, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Brian T Kelley | 28 Edwards St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Stephen R Atkins | 251 Edwards St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer S Paeske | 114 Edwards St # 1, New Haven, CT 06511-3918 | Controlled Substance Registration for Practitioner | 2013-01-15 ~ 2015-02-28 |
| Lauren M Ullman | 256 Edwards St Apt 4, New Haven, CT 06511-3738 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Gail M O'brien | 181 Edwards St, New Haven, CT 06511-3734 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Susan Maya | 198 Edwards St Apt 3, New Haven, CT 06511-3702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Glynne L M Edwards | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2010-08-09 ~ 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).