ALAN MALITZ (Credential# 146664) 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.
ALAN MALITZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000903. 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 98 Wedgewood Dr, Easton, CT 06612-2044. The current status is active.
| Licensee Name | ALAN MALITZ |
| Credential ID | 146664 |
| Credential Number | CSP.0000903 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
98 Wedgewood Dr Easton CT 06612-2044 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 543099 | 1.019601 | Physician/Surgeon | 1977-09-15 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 214676 | CSW.0001141 | WHOLESALER OF DRUGS, COSMETICS & MEDICAL DEVICES | - 1999-06-30 | INACTIVE |
| Street Address | 98 WEDGEWOOD DR |
| City | EASTON |
| State | CT |
| Zip Code | 06612-2044 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Folman Md | 90 Wedgewood Dr, Easton, CT 06612-2044 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Micah B Wolfsohn | 118 Wedgewood Dr, Easton, CT 06612-2044 | Emergency Medical Technician | 2018-09-20 ~ 2021-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacy L Belanger | 140 Stepney Road, Easton, CT 06612 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Gwen C Easdon | 888 Sport Hill Rd, Easton, CT 06612 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Jessica Lynne Oliver | 4 Lilac Lane, Easton, CT 06612 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sarah E Grega | 412 Sport Hill Road, Easton, CT 06612 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pierre H Estime Do | 45 Meadow Ridge Drive, Easton, CT 06612 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Ann Liik | 1092 Black Rock Turnpike, Easton, CT 06612 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Stephen Izzo · H. Roark Woodworking | 56 Burr Street, Easton, CT 06612 | Home Improvement Contractor | 2020-06-16 ~ 2020-11-30 |
| Louise Weintraub Linsky | 45 Ridgeway Road, Easton, CT 06612 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Ewa B Dembosky | 14 Crescent Drive, Easton, CT 06612 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Andrew S Nemergut | 706 North Park Avenue, Easton, CT 06612 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06612 | |||
| City | EASTON |
| Zip Code | 06612 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EASTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan Armstrong Pa | 19 Elm St, Mystic, CT 06355-2443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alan J Farb | 85 Lafayette St, New Britain, CT 06051-1803 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alan J Smally Md | 20 Warner Ct, Glastonbury, CT 06033-5010 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alan M Berman Od | 96 Danbury Rd, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alan Wolkoff Dmd | 93 Wedgewood Dr, Waterbury, CT 06705 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alan Einbinder Dds | 223 Hawthorne Dr, Berlin, CT 06037-4078 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Alan L Stern | 1 Lake St, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Angelo M Barese | 9 Alan Ave, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 1994-06-15 ~ 1996-07-01 |
| Alan J. Barnes | 2135 Nw 3rd Pl, Gainesville, FL 32603-1513 | Controlled Substance Registration for Practitioner | 2013-04-09 ~ 2015-02-28 |
| Alan Sonn Dmd | 304 Federal Rd, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on ALAN MALITZ.
| 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).