ROBERT MULLIN MD (Credential# 160907) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.
ROBERT MULLIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020539. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 27 Pine Glen Terrace, Wallingford, CT 06492. The current status is inactive.
| Licensee Name | ROBERT MULLIN MD |
| Credential ID | 160907 |
| Credential Number | CSP.0020539 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
27 Pine Glen Terrace Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2007-03-01 |
| Expiration Date | 2008-02-29 |
| Refresh Date | 2009-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542413 | 1.017484 | Physician/Surgeon | 1975-09-24 | 2007-01-17 - 2007-12-31 | INACTIVE |
| Street Address | 27 PINE GLEN TERRACE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine M Signore | 27 Pine Glen Terrace, Wallingford, CT 06492 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Pine Glen Builders LLC | 27 Pine Glen Terrace, Wallingford, CT 06492 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brett K Mullin | 360 State St, New Haven, CT 06510-3601 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kathleen Brady Mullin | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | Controlled Substance Registration for Practitioner | 2019-04-26 ~ 2021-02-28 |
| Robert F Maier | 9 Robert Street, Somers, CT 06071 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Robert C. Piela | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 | |
| Robert A Dix Dds | 134 Old Ridgefield Rd, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Robert Qiu | 76 Ship Ave Apt 3, Medford, MA 02155 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert J Conrad Md | Po Box 747, Koloa, HI 96756 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Robert J Miller Dds | 133 Fifth St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Lee Pu Md | 33-c Robert Treat Dr, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 1996-01-10 ~ 1997-02-28 |
| Robert W Slauch | Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ROBERT MULLIN 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).