DAVID J LICHT MD (Credential# 163396) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
DAVID J LICHT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022948. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 85 Pleasantview Ave, Longmeadow, MA 01106. The current status is inactive.
| Licensee Name | DAVID J LICHT MD |
| Credential ID | 163396 |
| Credential Number | CSP.0022948 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
85 Pleasantview Ave Longmeadow MA 01106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551873 | 1.034275 | Physician/Surgeon | 1995-02-03 | 2015-03-01 - 2016-02-29 | INACTIVE |
| Street Address | 85 PLEASANTVIEW AVE |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Myron B Licht | 8259 N. 1st Drive, Phoenix, AZ 85021 | Controlled Substance Registration for Practitioner | 1993-02-26 ~ 1995-03-01 |
| David F Lee Dds | 521 3rd Ave Apt 2, New York, NY 10016-4747 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David Cone Md | 58 Middletown Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2003-07-02 ~ 2004-02-28 |
| David A Williams | David Williams Aprn, Danbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David P Nocek Md | David Nocek, Greenwich, CT 06831-5100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David E Walker Md | P.o. Box 73, Hadlyme, CT 06439 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Lang Pa | 197 Oak Ave, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| David Hyung Kim | Alpine, NJ 07620-0899 | Controlled Substance Registration for Practitioner | 2018-12-13 ~ 2021-02-28 |
| David J Belman Md Cm | Po Box 547, New Britain, CT 06050 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| David A. Petti Dds | 9 Hill St, Rye, NY 10580-2601 | Controlled Substance Registration for Practitioner | ~ |
Please comment or provide details below to improve the information on DAVID J LICHT 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).