NATHAN DOUGLASS (Credential# 1431882) 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.
NATHAN DOUGLASS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065959. 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 888 White Plains Rd, Trumbull, CT 06611-4552. The current status is active.
| Licensee Name | NATHAN DOUGLASS |
| Credential ID | 1431882 |
| Credential Number | CSP.0065959 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
888 White Plains Rd Trumbull CT 06611-4552 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-17 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1418696 | 1.056556 | Physician/Surgeon | 2017-06-15 | 2019-04-01 - 2020-03-31 | ACTIVE |
| Street Address | 888 WHITE PLAINS RD |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4552 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jay J Esposito | 888 White Plains Rd, Trumbull, CT 06611 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Isaac Cohen Md | 888 White Plains Rd, Trumbull, CT 06611 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mark E Wilchinsky | 888 White Plains Rd, Trumbull, CT 06611-4552 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| James M Weisz Md | 888 White Plains Rd, Trumbull, CT 06611 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Fairfield County Endoscopy Center | 888 White Plains Rd, Trumbull, CT 06611-4552 | Out-patient Surgical Facility | 2019-04-01 ~ 2021-03-31 |
| Scott A Weiss | 888 White Plains Rd, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| David Martin | 888 White Plains Rd, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elika Golara Dds | 888 White Plains Rd, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael R Redler | 888 White Plains Rd, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara L Richer Md | 888 White Plains Rd, Trumbull, CT 06611-4552 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Curtis Lyle Campbell | 888 White Plains Rd Ste 105, Trumbull, CT 06611-4552 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Richard Kaplan | 888 White Plains Rd Ste 202, Trumbull, CT 06611-4552 | Controlled Substance Registration for Practitioner | 2020-01-31 ~ 2021-02-28 |
| Daniel J Passeri | 888 White Plains Rd Ste 206, Trumbull, CT 06611-4552 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Primed Gastroenterology LLC · Fairfield County Endoscopy Center | 888 White Plains Rd Ste 210, Trumbull, CT 06611-4552 | Out-patient Surgical Facility | 2015-01-01 ~ 2016-12-31 |
| Daniel G Sica | 888 White Plains Road, Trumbull, CT 06611-4552 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy Marie Douglass | 28 Crescent St, Middletown, CT 06457-3654 | Controlled Substance Registration for Practitioner | 2019-06-07 ~ 2021-02-28 |
| Frances A Douglass Md | 20 William St Apt 2b, Mount Vernon, NY 10552-2835 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nathan W Liu | 330 Nob Hill Dr, Elmsford, NY 10523-2435 | Controlled Substance Registration for Practitioner | 2014-07-31 ~ 2015-02-28 |
| Nathan P Lemay | 14 Equestrian Way, Scarborough, ME 04074-9631 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nathan Selsky | 36 Neptune Ave, Norwalk, CT 06854 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meena Nathan Md | 400 Brookline Ave, Apt 4c, Boston, MA 02215 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Nathan H Brewer | 10 Grace Ln, Killingworth, CT 06419-1312 | Controlled Substance Registration for Practitioner | 2011-07-21 ~ 2013-02-28 |
| Nathan C Swallow | 100 Retreat Ave Ste 403, Hartford, CT 06106-2528 | Controlled Substance Registration for Practitioner | 2019-03-28 ~ 2021-02-28 |
| Nathan G Lafayette | 777 South St, Middlebury, CT 06762-3506 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nathan L Grimm | 8 Intuition Cir, Durham, NC 27705-2881 | Controlled Substance Registration for Practitioner | 2019-04-18 ~ 2021-02-28 |
Please comment or provide details below to improve the information on NATHAN DOUGLASS.
| 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).