CHARLES MATTHEW MASSERMAN MD (Credential# 156475) 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.
CHARLES MATTHEW MASSERMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013798. 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 Cloverleaf Family Medicine, Meriden, CT 06450. The current status is active.
| Licensee Name | CHARLES MATTHEW MASSERMAN MD |
| Credential ID | 156475 |
| Credential Number | CSP.0013798 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Cloverleaf Family Medicine Meriden CT 06450 |
| 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 | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546330 | 1.027029 | Physician/Surgeon | 1986-02-06 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | CLOVERLEAF FAMILY MEDICINE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachaellee E Standish | 5401 Yale Ave, Meriden, CT 06450 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Yajaira Perez | 44 Sagamore Rd, Meriden, CT 06450 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Stephanie Savejs | 818 Paddock Ave, Meriden, CT 06450 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kellie Victoria Katkauskas | 194 Catherine Dr., Meriden, CT 06450 | Marital and Family Therapist Associate | ~ |
| Shannon Lee Nessing | 278 Britannia St, Meriden, CT 06450 | Nail Technician | ~ |
| Miller Company | 99 Center St, Meriden, CT 06450 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kristina Rodriguez | 51 Hobart St., Waterbury, CT 06450 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Agatha V Pestilli | 148 Alexander Dr, Meriden, CT 06450 | Architect | 2020-08-01 ~ 2021-07-31 |
| Wayne M Flis | 250 Liberty St. #1, Meriden, CT 06450 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| J&e General Contractor LLC | 787 N Colony Rd Apt 29, Meriden, CT 06450 | Home Improvement Contractor | 2020-06-23 ~ 2020-11-30 |
| Find all Licenses in zip 06450 | |||
| City | MERIDEN |
| Zip Code | 06450 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MERIDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew B Palmer | CT | Controlled Substance Registration for Practitioner | ~ |
| Matthew Lin | 5 Van Winkle St, Bloomfield, NJ 07003 | Controlled Substance Registration for Practitioner | 2015-06-29 ~ 2017-02-28 |
| Matthew J Finn | 18 W Elm St, New Haven, CT 06515-2129 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew Davies | 66 Village Dr Apt 304, Wethersfield, CT 06109-1074 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Matthew S Cook Pa-c | 21 Avon St # 3, New Haven, CT 06511-2522 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Matthew L Mitchell | 100 Retreat Ave Ste 403, Hartford, CT 06106-2528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew R Dukehart Md | 175 West Rd, Ellington, CT 06029-3730 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew D Kasulke | 222 Dale St, Syracuse, NY 13208-2328 | Controlled Substance Registration for Practitioner | 2015-05-07 ~ 2017-02-28 |
| Matthew F Pizzuto | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Matthew J Lipshaw | 20 York St., New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).