MICHAEL HAWTHORNE (Credential# 1454270) 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.
MICHAEL HAWTHORNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066908. 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 5968 Fairington Farms Ln, Lithonia, GA 30038-1548. The current status is active.
| Licensee Name | MICHAEL HAWTHORNE |
| Credential ID | 1454270 |
| Credential Number | CSP.0066908 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5968 Fairington Farms Ln Lithonia GA 30038-1548 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-10-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1427498 | 10.144767 | Registered Nurse | 2017-09-08 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1433713 | 12.007279 | Advanced Practice Registered Nurse | 2017-10-03 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1432200 | 10.142689-TEMP | Registered Nurse - Temporary | 2017-06-19 | 2017-06-19 - 2017-10-16 | INACTIVE |
| Street Address | 5968 FAIRINGTON FARMS LN |
| City | LITHONIA |
| State | GA |
| Zip Code | 30038-1548 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pauline Annmarie Wright | 7322 Granite Terrace, Lithonia, GA 30038 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Rohan R Turner | 8010 White Oak Loop, Lithonia, GA 30038 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Debra Curry | 4990 River Overlook Way, Lithonia, GA 30038 | Registered Nurse | 2020-04-09 ~ 2020-12-31 |
| Sandrene A Edwards | 5980 Fairington Farm Lane, Lithonia, GA 30038 | Registered Nurse | ~ 2018-10-31 |
| Anita Merkerson | 2973 Fairton Trail, Lithonia, GA 30038 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Rochelle G Tobias | 4007 Belmont Ridge Drive, Lithonia, GA 30038 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Candice Darchell Sullivan | 2933 Raton Path, Lithonia, GA 30038 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Alicia N Deer | 11202 Kensington Trail, Lithonia, GA 30038 | Dental Hygienist | 2020-01-01 ~ 2020-12-31 |
| Angela Patrice Collins | 7623 Summer Berry Lane, Lithonia, GA 30038 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Niatoria Cook | 4689 Shire Drive, Lithonia, GA 30038 | Registered Nurse | 2018-09-18 ~ 2019-05-31 |
| Find all Licenses in zip 30038 | |||
| City | LITHONIA |
| Zip Code | 30038 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LITHONIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Engelbert Md | 630 Hawthorne Ave, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Michael A Monaco Md | 44 Hawthorne St N, Greenwich, CT 06831-4203 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martin B Cohen Md | 19 Bradhurst Ave Ste 700, Hawthorne, NY 10532 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Seroos Salavati | 15 Hawthorne Ln, Poughkeepsie, NY 12603-5677 | Controlled Substance Registration for Practitioner | 2017-07-04 ~ 2019-02-28 |
| Gabriel A Bonilla | 381 Willis Ave, Hawthorne, NY 10532-1413 | Controlled Substance Registration for Practitioner | 2009-09-10 ~ 2011-02-28 |
| Howard J Luks Md | 19 Bradhurst Ave, Hawthorne, NY 10532 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Frank J Tamarkin | 84 Hawthorne Ave, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Laura M Lavin | 38 Hawthorne Ave, Shelton, CT 06484-4437 | Controlled Substance Registration for Practitioner | 2020-03-05 ~ 2021-02-28 |
| Jennifer Hodio | 282 Hawthorne Ln, Orange, CT 06477-2932 | Controlled Substance Registration for Practitioner | 2019-05-10 ~ 2021-02-28 |
| Kennedy K Eneh Md | 54 Hawthorne Way, Milroy, PA 17063-8254 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on MICHAEL HAWTHORNE.
| 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).