CARL MALM
Controlled Substance Registration for Practitioner


Address: 123 York St, New Haven, CT 06511-5655

CARL MALM (Credential# 1435551) 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.

Business Overview

CARL MALM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066155. 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 123 York St, New Haven, CT 06511-5655. The current status is active.

Basic Information

Licensee Name CARL MALM
Credential ID 1435551
Credential Number CSP.0066155
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 123 York St
New Haven
CT 06511-5655
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-07-27
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-09

Other locations

Licensee Name Office Address Credential Effective / Expiration
Carl Malm 20 York Street, New Haven, CT 06510 Resident Physician 2020-07-01 ~ 2021-06-30

Office Location

Street Address 123 YORK ST
City NEW HAVEN
State CT
Zip Code 06511-5655

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Anthony T Dioguardi 123 York St, New Haven, CT 06511 Dentist 2020-08-01 ~ 2021-07-31
Justin Michael Pacor 123 York St, New Haven, CT 06511-5655 Resident Physician 2020-07-01 ~ 2021-06-30
Marina B Palma Lima 123 York St, New Haven, CT 06511-5655 Resident Physician 2020-07-01 ~ 2021-06-30
Dean G Cloutier Dds 123 York St, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Aaron D Bennett 123 York St, New Haven, CT 06511-5655 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Anthony Abou Karam 123 York St, New Haven, CT 06511 Physician/surgeon 2019-09-01 ~ 2020-08-31
Jasmine Nicole Verret 123 York St, New Haven, CT 06511 Registered Nurse 2018-12-01 ~ 2019-11-30
Daniella O Teape 123 York St, New Haven, CT 06511-5655 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Jack D Berns 123 York St, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Christine M Shaver 123 York St, New Haven, CT 06511-5655 Controlled Substance Registration for Practitioner 2013-07-03 ~ 2015-02-28
Find all Licenses in the same address

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Ivelina N. Dean Dmd 123 York Street 4l, New Haven, CT 06511-5655 Dentist 2018-09-01 ~ 2019-08-31
Jon M Mandeville 123 York St Apt 7 K, New Haven, CT 06511-5655 Massage Therapist 2019-06-01 ~ 2021-05-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Montessori School On Edgewood Inc. 230 Edgewood Avenue, New Haven, CT 06511 Public Charity 2019-06-01 ~ 2020-05-31
Therese Parks · Visel Drug Store 264 Munson St, New Haven, CT 06511 Registered Nurse 2020-07-01 ~ 2021-06-30
Dazjia Monet Green 115 Edgewood Ave Apt 64, New Haven, CT 06511 Registered Nurse 2020-06-27 ~ 2021-05-31
Carol Yam 343 Humphrey St, New Haven, CT 06511 Registered Nurse ~
Marwan S Haddad 38 Lincoln Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
Mary Lou Gaeta Md 558 Chapel Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
Cary M Tucker 64 Bishop St, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Frank J Pannenborg 505 Ellsworth Ave, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Crystal E Gooding 26 Woodland Street, New Haven, CT 06511 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Kieran Jones 260 Crown St Unit 1f, New Haven, CT 06511 Registered Nurse ~
Find all Licenses in zip 06511

Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06511
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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Licensee Name Office Address Credential Effective / Expiration
Brian J Malm Md 105 Tom Swamp Rd, Hamden, CT 06518-1110 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Kenneth V Malm Bolton Vet Hospital, Bolton, CT 06043 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Carl K Gjertson Farmington, CT 06030-3955 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Carl G Koplin 54 Candlewood Dr., Tolland, CT 06084 Controlled Substance Registration for Practitioner 2011-05-05 ~ 2013-02-28
Carl A Lecce Md 675 Main St, Middletown, CT 06457-2732 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Carl Durgin 17 Candlewood Dr, Danbury, CT 06811-3139 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Carl J Spadola 415 Highland Ave, Cheshire, CT 06410 Controlled Substance Registration for Practitioner 2019-04-20 ~ 2021-02-28
Carl A Lacce Md 635 Main St, Middletown, CT 06457 Controlled Substance Registration for Practitioner 1994-02-14 ~ 1996-03-01
Carl E Anderson Dds 22 Fleetwood Rd, Newington, CT 06111 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
F Carl Mueller Md 999 Summer St Ste #200, Stamford, CT 06905 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Dataset Information

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).

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