CYNTHIA L CAMPBELL MD (Credential# 158110) 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.
CYNTHIA L CAMPBELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018887. 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 3 Park Crofters Lane, Old Saybrook, CT 06475. The current status is active.
| Licensee Name | CYNTHIA L CAMPBELL MD |
| Credential ID | 158110 |
| Credential Number | CSP.0018887 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3 Park Crofters Lane Old Saybrook CT 06475 |
| 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 | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 549116 | 1.031365 | Physician/Surgeon | 1992-12-28 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 3 park crofters Lane |
| City | Old Saybrook |
| State | CT |
| Zip Code | 06475 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carter Builders LLC | 3 Park Crofters Lane, Old Saybrook, CT 06475 | New Home Construction Contractor | 2004-07-08 ~ 2005-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | Old Saybrook |
| Zip Code | 06475 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Old Saybrook |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan R Campbell | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Gary Kim | 950 Campbell Ave, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2020-05-28 ~ 2021-02-28 |
| Susan E Campbell | 80 Perkins St, Springfield, MA 01118-2044 | Controlled Substance Registration for Practitioner | 2019-10-10 ~ 2021-02-28 |
| Jon P Carlson | 950 Campbell Ave, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2013-03-10 ~ 2015-02-28 |
| Nedson J. Campbell | 150 N. Main St., Manchester, CT 06042 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Bryce D Campbell | 314 Humphrey St, New Haven, CT 06511-3935 | Controlled Substance Registration for Practitioner | 2015-08-20 ~ 2017-02-28 |
| Kirk N Campbell Md | 111 Park St#16a, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| David I Campbell Md | 22 Apple Way, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Patrick T Campbell | 594 Farmington Ave, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Campbell F Bryson | 109 Church St, New Haven, CT 06510-3016 | 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).