ALAN M CEMENTINA MD (Credential# 156961) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
ALAN M CEMENTINA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013940. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 904 Flanders Rd, Coventry, CT 06238-3467. The current status is inactive.
| Licensee Name | ALAN M CEMENTINA MD |
| Business Name | ASYLUM HILL FAMILY PRACTICE |
| Credential ID | 156961 |
| Credential Number | CSP.0013940 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
904 Flanders Rd Coventry CT 06238-3467 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546255 | 1.026902 | Physician/Surgeon | 1985-11-27 | 2015-10-01 - 2016-09-30 | INACTIVE |
| Street Address | 904 FLANDERS RD |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238-3467 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
| Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
| Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Find all Licenses in zip 06238 | |||
| City | COVENTRY |
| Zip Code | 06238 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COVENTRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc Robin Md · Stamford Family Practice PC | 32 Strawberry Hill Ct Ste 41096, Stamford, CT 06902-2777 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Dana Buchanan Md | New Fairfield Family Practice, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Nancy L Wang Md | Mansfield Family Practice LLC, Storrs, CT 06268 | Controlled Substance Registration for Practitioner | 1999-02-28 ~ 2000-02-28 |
| Carlos Valentin Md | Wallingford Family Practice, Wallingrord, CT 06491 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah S Gerritz Md | Family Practice Associates, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alan L Schwarz Md | Prohealth Physicians Family Prac., Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Moris Rabanipour Md | Family Practice Residency Program, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Shephali Patel Md | Family Practice Residency Program, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Asif Sarfraz Md | Family Practice Residency Program, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Ruben Zorrilla | Family Practice Residency Program, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 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).