MICHAEL BAUM (Credential# 158476) 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.
MICHAEL BAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017972. 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 Day Kimball Medical Group General Surgery, Putnam, CT 06260. The current status is active.
Licensee Name | MICHAEL BAUM |
Credential ID | 158476 |
Credential Number | CSP.0017972 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
Day Kimball Medical Group General Surgery Putnam CT 06260 |
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 | 2018-12-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
548517 | 1.030535 | Physician/Surgeon | 1990-01-19 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | Day Kimball Medical Group General Surgery |
City | PUTNAM |
State | CT |
Zip Code | 06260 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
Find all Licenses in zip 06260 |
City | PUTNAM |
Zip Code | 06260 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PUTNAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carl R Baum Md | 156 Peck Hill Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Eric D Baum Md | 230 Boston Post Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joshua E Baum | 23 Church Hill Rd, Newtown, CT 06470-1612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael D Baum · Michael Baum Professional Painting | 66 Woodycrest Dr, East Hartford, CT 06118 | Home Improvement Contractor | 1999-03-17 ~ 1999-11-30 |
S James Baum Md | 1790 Fairfield Beach Rd, Fairfield, CT 06824-6581 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
S James Baum Md | 1791 Fairfield Beach Rd, Fairfield, CT 06430 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael K Hwang Dmd | Michael K Hwang, Dmd, LLC, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael J Lim | 300 Seaside Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael Blefeld | 495 Rt 184, Groton, CT 06340 | 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).