SIMON M TRUTT (Credential# 142841) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 9, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SIMON M TRUTT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0006677. The credential type is controlled substance registration for practitioner. The effective date is December 9, 2019. The expiration date is February 28, 2021. The business address is 3145 Northeast 16th Avenue, Portland, OR 97212. The current status is active.
| Licensee Name | SIMON M TRUTT |
| Credential ID | 142841 |
| Credential Number | CSP.0006677 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3145 Northeast 16th Avenue Portland OR 97212 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-12-09 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542419 | 1.017498 | Physician/Surgeon | 1976-03-19 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 3145 NORTHEAST 16TH AVENUE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Stanley | 1936 Ne 38th Ave., Portland, OR 97212 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lisa A. Zich | 1130 Ne Brazee St, Portland, OR 97212 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Mary Jepson | 3826 Ne 10th Ave, Portland, OR 97212-1219 | Controlled Substance Registration for Practitioner | 2013-08-28 ~ 2015-02-28 |
| Myriam M Rodriguez Torres | 4046 Ne 16th Ave, Portland, OR 97212-1331 | Professional Engineer | 2013-03-03 ~ 2014-01-31 |
| David H Smith | 3111 Ne Shaver St, Portland, OR 97212-1746 | Pharmacist | 2014-02-24 ~ 2016-01-31 |
| Sara F Baldauf-wagner Lnm | 1417 Ne Thompson St Apt 1, Portland, OR 97212-4203 | Registered Nurse | 2010-10-01 ~ 2011-09-30 |
| David Sheerin | 2015 Ne 38th Ave, Portland, OR 97212-5223 | Architect | 2019-08-06 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda H Silano | 265 Old Marlborough Tpke, Portland, CT 06480-1043 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Mega Engineering P A LLC | 8 Georgia St, Portland, ME 04103-6016 | Professional Engineering Corporation | 2020-06-16 ~ 2021-06-16 |
| Bianca Rose Monaco | 203 Pickering St, Portland, CT 06480-1962 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Galladex Bd T85% I 9082 | 47 Lower Main St, Portland, CT 06480 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
| Tri Town Foods | 316 Marlborough St, Portland, CT 06480-1977 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Suzanne S O'rourke | 35 Apple Tree Lane, Portland, CT 06480 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Gui Jiang | Sunny�s Nail&spa, Portland, CT 06480 | Nail Technician | 2020-06-26 ~ 2021-12-31 |
| Oakhurst Dairy | 364 Forest Ave, Portland, ME 04101-2035 | Milk Dealer | 2020-07-01 ~ 2022-06-30 |
| Angela R Aresco | 102 Rose Hill Rd, Portland, CT 06480-1217 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Rachel Low | 7216 N Fenwick Ave, Portland, OR 97217-5656 | Naturopathic Physician | ~ |
| Find all Licenses in PORTLAND | |||
| City | PORTLAND |
| Zip Code | 97212 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gnana S Simon | 925 Mix Ave Apt 1k, Hamden, CT 06514-5118 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Simon Kim | Po Box 208058, New Haven, CT 06520-8058 | Controlled Substance Registration for Practitioner | 2013-07-24 ~ 2015-02-28 |
| Simon C Lee Md | 320 Pomfret St, Putnam, CT 06260-1869 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Simon Li | 16 Hettiefred Road, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Margo D Simon Md | 982 E Main St, Bridgeport, CT 06608-1913 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Silvi M Simon | 51 Schuyler Ave, Stamford, CT 06902-3730 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Simon K Gorwara Md | 1 Columbia St, Poughkeepsie, NY 12601 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Simon J Shapiro | 22 Locust St, Greenwich, CT 06830-6317 | Controlled Substance Registration for Practitioner | 2019-05-06 ~ 2021-02-28 |
| David M Simon | 173 Alden Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Jonathan T Simon Md | 22 Westfield Ave, Ansonia, CT 06401-1158 | 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).