DYLAN MICHAEL MINDICH (Credential# 1516318) 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.
DYLAN MICHAEL MINDICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068221. 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 5 Boulderberg Rd, Tomkins Cove, NY 10986-1505. The current status is active.
| Licensee Name | DYLAN MICHAEL MINDICH |
| Credential ID | 1516318 |
| Credential Number | CSP.0068221 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5 Boulderberg Rd Tomkins Cove NY 10986-1505 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-21 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1453949 | 1.057318 | Physician/Surgeon | 2018-01-24 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 5 BOULDERBERG RD |
| City | TOMKINS COVE |
| State | NY |
| Zip Code | 10986-1505 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinnie Bongiardina · Skyfield Tower | 13 Boulderburg Rd, Tomkins Love, NY 10986 | Tv & Radio Antenna Installation & Repair Dealer | ~ |
| Ann Tyler | 55 Buckburg Mtn Rd, Tomkins Cove, NY 10986 | Licensed Practical Nurse | 2008-03-17 ~ 2009-05-31 |
| Karie Thurston | P.o Box 45, Tompkins Cove, NY 10986 | Registered Nurse | 2006-09-01 ~ 2007-08-31 |
| Joseph T Mazur | 5 Hawk Nest Road, Tomkins Cove, NY 10986 | Occupational Therapist Assistant | 1999-06-08 ~ 2001-07-31 |
| Alfred A Jacobs | 11 Bird Hill Road, Tompkins Cove, NY 10986 | Registered Nurse | 2006-11-01 ~ 2007-10-31 |
| Ross A Barnes | 65 Buckberg Mountain Rd, Tomkins Cove, NY 10986-1016 | Emergency Medical Technician | 2011-09-26 ~ 2014-04-01 |
| Robert C Hayman · Rnd Services Inc | 81 Buckberg Mountain Rd, Tomkins Cove, NY 10986-1313 | Plumbing & Piping Limited Contractor | 2016-11-01 ~ 2017-10-31 |
| Mancuso Construction & Remodeling Corp | 560 N Liberty Dr, Tomkins Cove, NY 10986-1516 | Home Improvement Contractor | 2011-01-20 ~ 2011-11-30 |
| Robert Silva | 721 N Liberty Dr Fl 2, Tomkins Cove, NY 10986-1709 | Physician Assistant | 2020-06-24 ~ 2021-01-31 |
| Richard Schwartz | 807 N Liberty Dr, Tomkins Cove, NY 10986-1710 | Electrical Unlimited Journeyperson | ~ |
| Find all Licenses in zip 10986 | |||
| City | TOMKINS COVE |
| Zip Code | 10986 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TOMKINS COVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dylan Ryan | 74 Derby St, Dracut, MA 01826-3921 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dylan F Davey | 544 George St # 3, New Haven, CT 06511-5302 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-01-15 |
| Dylan Jones | 100 Grand St, New Britain, CT 06052-2016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dylan Malloy | 75 Loomis Dr, West Hartford, CT 06107-2015 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dylan J Plante | 32 Patricia Lane, Thomaston, CT 06787 | Controlled Substance Registration for Practitioner | 2019-12-16 ~ 2021-02-28 |
| Brad Dylan Brooks | 28 Troy Street, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-04-22 ~ 2021-02-28 |
| Dylan Buller | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
| Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael K Hwang Dmd | Michael K Hwang, Dmd, LLC, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Lim | 300 Seaside Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).