MAHLON S HALE (Credential# 158617) 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.
MAHLON S HALE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019964. 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 152 Middle Beach Rd., Madison, CT 06433. The current status is active.
| Licensee Name | MAHLON S HALE |
| Credential ID | 158617 |
| Credential Number | CSP.0019964 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
152 Middle Beach Rd. Madison CT 06433 |
| 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 |
|---|---|---|---|---|---|
| 542177 | 1.017034 | Physician/Surgeon | 1975-01-03 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 152 Middle Beach Rd. |
| City | Madison |
| State | CT |
| Zip Code | 06433 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elin L Christensen Md | 1353 Boston Post Rd, Madison, CT 06433 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Natasha L Dolan | 1191 Durham Road, Madison, CT 06433 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Anthony N Goraieb IIi | 76 Bartlett Drive, Madison, CT 06433 | Electrical Limited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Kathryn Smith | 12 Pardee Place, Madison, CT 06433 | Medication Administration Certification | 2019-06-08 ~ 2021-06-07 |
| Sunny Hill | 33 Sunny Hill Drive, Madison, CT 06433 | Community Living Arrangement | 2018-08-01 ~ 2020-07-31 |
| Harry E Strate | 75 Neck Rd, Madison, CT 06433 | Professional Engineer | 1998-02-01 ~ 1999-01-31 |
| Patrick M O'neill | 124 Neck Rd, Madison, CT 06433 | Public Weigher | 2002-07-19 ~ 2003-06-30 |
| Alexandre J Goyette | 493 Winnepage Dr, Fairfield, CT 06433 | Crane Operator | 1984-10-01 ~ 1986-09-30 |
| Madison Beach Club Inc. | Island Avenue, Po Box 686, Madison, CT 06433 | Public Charity-exempt From Financial Requirements | ~ |
| Jj Schreck LLC · The Madison Fish Tale | 1301 Boston Post Road, Madison, CT 06433 | Frozen Dessert Retailer | 2009-01-01 ~ 2009-12-31 |
| Find all Licenses in zip 06433 | |||
| City | Madison |
| Zip Code | 06433 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Madison |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Feeney Dmd | 50 Hale St, Rockville, CT 06066 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Jennifer Corridon | 3 Hale Ln, Darien, CT 06820-4431 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alissa A Umstead | 35 Nathan Hale Ct, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas C Fishler | 127 Fort Hale Rd, New Haven, CT 06512-3604 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Darlene Negbenebor Md | 91 Nathan Hale Drive, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hale I Perlmutter | 4555 Henry Hudson Pkwy Apt 107, Bronx, NY 10471-3837 | Controlled Substance Registration for Practitioner | 2015-03-30 ~ 2017-02-28 |
| David Hale · Hale Nursery | 11 Fairview Street, Portland, CT 06480 | Nursery Registration | 2017-07-25 ~ 2018-06-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on MAHLON S HALE.
| 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).