MARK A BLUMENFELD (Credential# 151765) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 17, 2019. The license expiration date date is February 28, 2019. The license status is RETIRED.
MARK A BLUMENFELD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010176. The credential type is controlled substance registration for practitioner. The effective date is January 17, 2019. The expiration date is February 28, 2019. The business address is 100 Casterbridge Xing Unit 105, Simsbury, CT 06070-1487. The current status is retired.
Licensee Name | MARK A BLUMENFELD |
Credential ID | 151765 |
Credential Number | CSP.0010176 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
100 Casterbridge Xing Unit 105 Simsbury CT 06070-1487 |
Business Type | INDIVIDUAL |
Status | RETIRED - NOT ACTIVELY ENGAGING |
Active | 1 |
Issue Date | 1999-02-28 |
Effective Date | 2019-01-17 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-01-17 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
542458 | 1.017586 | Physician/Surgeon | 1976-03-15 | 2017-03-01 - 2018-02-28 | INACTIVE |
Street Address | 100 CASTERBRIDGE XING UNIT 105 |
City | SIMSBURY |
State | CT |
Zip Code | 06070-1487 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06070 |
City | SIMSBURY |
Zip Code | 06070 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SIMSBURY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Aaron J Blumenfeld Md | 85 Seymour St Suite 416, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2007-11-28 ~ 2008-02-29 |
Hugh Blumenfeld | 99 Woodland St Mc-7140, Hartford, CT 06105-7140 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mark P Goldstein Md | 754 E 6th St #5d, New York, NY 10009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mark C Lee Md | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mark R Cullen Md | 22 Lee Way, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Hal Blumenfeld · Yale University School of Medicine | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
Mark D Simms Md | 56 Franklin St, Waterbury, CT 06702 | Controlled Substance Registration for Practitioner | 1993-01-07 ~ 1995-02-01 |
Mark R Powers Pa-c | 66 Gordon St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mark A Riddle | 240 Yale Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 1993-04-02 ~ 1995-04-01 |
Mark W Greve | 61 Three Corners Rd, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2005-04-18 ~ 2006-02-28 |
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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).