BRADFORD W NOLL MD (Credential# 144137) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
BRADFORD W NOLL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010711. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 58 Hathaway Ave, Beverly, MA 01915. The current status is inactive.
| Licensee Name | BRADFORD W NOLL MD |
| Credential ID | 144137 |
| Credential Number | CSP.0010711 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
58 Hathaway Ave Beverly MA 01915 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 543534 | 1.021009 | Physician/Surgeon | 1979-01-12 | 2010-01-01 - 2010-12-31 | INACTIVE |
| Street Address | 58 HATHAWAY AVE |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James M Younger | 32 Butman Street, Beverly, MA 01915 | Architect | 2020-08-01 ~ 2021-07-31 |
| Bw Gas & Convenience Offshore Fund II, L.p. | 138 Conant Street, Beverly, MA 01915 | Securities - Exemptions | 2020-05-29 ~ |
| Nicola D Ferzacca IIi | 23 Porter Terrace, Beverly, MA 01915 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Altarock Fund, Lp | 500 Cummings Center, Beverly, MA 01915 | Securities - Reg. D Exemptions | 2020-01-07 ~ |
| Joel Gordon | 15 Old Rubbly Rd, Beverly, MA 01915 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Donald Gerard Gallucci | 14 Sargent St, Beverly, MA 01915 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Alicia Champagne | 84 Mckay Street, Beverly, MA 01915 | Notary Public Appointment | 2004-04-29 ~ 2009-04-30 |
| Taylor Chafey | 28 Old Planters Rd, Beverly, MA 01915 | Emergency Medical Technician | 2019-10-01 ~ 2022-09-30 |
| Lindle D Willnow | 53 South Terrace, Beverly, MA 01915 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Mark J. Balboni | 39 Beckford St, Beverly, MA 01915 | Hoisting Equipment Operator | 2018-11-30 ~ 2020-11-29 |
| Find all Licenses in zip 01915 | |||
| City | BEVERLY |
| Zip Code | 01915 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BEVERLY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Min-hee A Cho Dmd | 97 Bradford Walk, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Bradford J Harding Md | Po Box 82, Cornwall, CT 06753-0082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bradford W Wilkinson | 267 Cartwright Rd, Wellesley, MA 02482 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Heather M Bradford | 17 Sterling St Fl 2, Hartford, CT 06112-2354 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jin Ha Joung Dmd | 97 Bradford Walk, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Bradford K Mitchell Md | 799 W Main St, W Haven, CT 06516-4829 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Dae Kyu Hwang | 19 Bradford Walk, Farmington, CT 06032-4530 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bradford A Newman Od | 38 Tunxis Ave, Bloomfield, CT 06002-2034 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jharendra P Rijal | 127 Bradford Walk, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bradford Sodowick Md | 4 Esterly Farms Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
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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).