CHARLES HINES MD (Credential# 158005) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.
CHARLES HINES MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020748. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is Genesis Physician Ctr, Springfield, MA 01108. The current status is inactive.
| Licensee Name | CHARLES HINES MD |
| Credential ID | 158005 |
| Credential Number | CSP.0020748 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Genesis Physician Ctr Springfield MA 01108 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2000-02-29 |
| Expiration Date | 2001-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550349 | 1.032749 | Physician/Surgeon | 1993-01-08 | 1999-10-06 - 2000-09-30 | INACTIVE |
| Street Address | GENESIS PHYSICIAN CTR |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01108 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sang Lam | 11 Herman Streets, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Di Fu | 18 Eldridge St, Springfield, MA 01108 | Hairdresser/cosmetician | ~ |
| Ewanjigi Wangui Wanjigi | 157 Layfred Terrace St, Springfield, MA 01108 | Licensed Practical Nurse | ~ |
| Vy Thanh Tran | 68 Kenwood Park, Springfield, MA 01108 | Nail Technician | ~ |
| David Ji Soo Kim | 38 Whittier St Apt A, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-09-30 |
| Frances I Moran | 66 Parkedge Ave, Springfield, MA 01108 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hwarim Oh | 38 Whittier St, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Alice F Thomas | 91 Audubon St, Springfield, MA 01108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Italian Bread Shop Inc | 187 Orange St, Springfield, MA 01108 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Renee D Mix | 23 Irvington Street, Springfield, MA 01108 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 01108 | |||
| City | SPRINGFIELD |
| Zip Code | 01108 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann H Hines Md | 13 Washington Ave, Danbury, CT 06810-7926 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| William H Hines | 30 Commerce Rd, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roberta L Hines | 105 Burr St, Fairfield, CT 06824-7106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian Hines | 292 Long Ridge Rd Ste 202, Stamford, CT 06902-1627 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Scott W Hines | 1629 Godfrey Ln, Virginia Beach, VA 23454-1301 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth K Hines Jr. | 30 Taylor Town Road, South Glastonbury, CT 06073 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Charles E Ray Dds | 46 Charcoal Ave, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Charles M Zatzkin | 391 E Putnam Ave, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles J Rehkamp | P O Box 488, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 1995-03-23 ~ 1996-02-28 |
| Charles R Watson Md | Sunrise, FL 33323 | Controlled Substance Registration for Practitioner | 2009-03-05 ~ 2011-02-28 |
Please comment or provide details below to improve the information on CHARLES HINES MD.
| 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).