SCOTT A BODEN MD (Credential# 162473) 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.
SCOTT A BODEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022733. 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 415 Silas Deane Hwy, Wethersfield, CT 06109-1700. The current status is active.
| Licensee Name | SCOTT A BODEN MD |
| Credential ID | 162473 |
| Credential Number | CSP.0022733 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
415 Silas Deane Hwy Wethersfield CT 06109-1700 |
| 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 | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551759 | 1.034160 | Physician/Surgeon | 1994-11-18 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 415 SILAS DEANE HWY |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109-1700 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karol Opticians | 415 Silas Deane Hwy, Wethersfield, CT 06109-2100 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
| Educational Training of Wethersfield | 415 Silas Deane Hwy, Wethersfield, CT 06109-2100 | Nurse Aide Training Program-private Occ School | 2013-06-25 ~ 2017-10-30 |
| Bludeau & Veilleux, LLC | 415 Silas Deane Hwy, Wethersfield, CT 06109 | Certified Public Accountant Firm Permit | 2016-01-01 ~ 2016-12-31 |
| Adrian L Bludeau, Cpa, P.C. | 415 Silas Deane Hwy, Wethersfield, CT 06109 | Certified Public Accountant Firm Permit | 2006-01-01 ~ 2006-12-31 |
| Robert J Vernlund | 415 Silas Deane Hwy, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 1994-04-27 ~ 1996-05-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vi T Tran | 350 Silas Deane Hwy Ste 104, Wethersfield, CT 06109-1700 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-24 ~ 2022-01-31 |
| Andrea K Hayes | 350 Silas Deane Hwy Ste 302, Wethersfield, CT 06109-1700 | Acupuncturist | 2020-02-01 ~ 2022-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | WETHERSFIELD |
| Zip Code | 06109 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WETHERSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William E Boden Md | 80 Seymour St, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| John C Boden | 18 Mauweehoo Hill, Sherman, CT 06784 | Home Improvement Contractor | ~ 1995-07-01 |
| Scott I. Pyo | 231 Picasso Cir, Sacramento, CA 95835-2647 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ami S Marshall | 142 Scott Ave, Watertown, CT 06795-2521 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Scott R Sobieraj | Williamsville, NY 14221 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Scott C Graham Md | 19 Frontier Rd, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Scott S Kim | 100 Trumbull St Apt 808, Hartford, CT 06103-2429 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric R Scott | 650 Mix Ave Apt 5a, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Scott Dillard | 606 West Ave, Norwalk, CT 06850-4011 | Controlled Substance Registration for Practitioner | 2020-02-06 ~ 2021-02-28 |
| Scott A Lemek Md | 38 Jefferson Dr, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Please comment or provide details below to improve the information on SCOTT A BODEN 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).