ANNETTE MADRID MD (Credential# 163651) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
ANNETTE MADRID MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023022. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is Po Box 1446, El Granada, CA 94018. The current status is inactive.
| Licensee Name | ANNETTE MADRID MD |
| Credential ID | 163651 |
| Credential Number | CSP.0023022 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 1446 El Granada CA 94018 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2010-10-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551828 | 1.034230 | Physician/Surgeon | 1994-12-30 | 2009-12-01 - 2010-11-30 | INACTIVE |
| Street Address | PO BOX 1446 |
| City | EL GRANADA |
| State | CA |
| Zip Code | 94018 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Topia Ltd | 30 Maiden Lane, Ste 550, El Granada, CA 94018 | Securities - Exemptions | 2020-06-02 ~ |
| Joyce A Thomas | P O Box 1237, El Granada, CA 94018 | Hairdresser/cosmetician | 1993-01-25 ~ 1993-10-31 |
| Joan Swan | P O Box 116, El Granada, CA 94018 | Licensed Practical Nurse | 1996-11-19 ~ 1997-11-30 |
| City | EL GRANADA |
| Zip Code | 94018 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EL GRANADA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel A Madrid | 354 Tunnel Rd, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2017-05-12 ~ 2019-02-28 |
| Stephanie S Fisher | 973 Buck Rd, Madrid, NY 13660-3144 | Controlled Substance Registration for Practitioner | 2014-06-24 ~ 2015-02-28 |
| Dorian K Madrid Pa | 4333 Town Brooke, Middletown, CT 06457-6613 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Annette Fonteneau | Po Box 7702, Cumberland, RI 02864 | Controlled Substance Registration for Practitioner | 2013-04-08 ~ 2015-02-28 |
| Annette Czernik | 15 Ranch Dr, Trumbull, CT 06611-2646 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Annette L Bond | 1 Waterbury St, Weston, CT 06883 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Annette Lukose | 197 Parkway Dr, Roslyn Heights, NY 11577-2707 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Annette B Schultze Dvm | 150 Dessa Drive, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2002-03-26 ~ 2003-02-28 |
| Annette Colavita Md | 1002 Foxboro Dr, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Annette F Cameron Md | 1 Dunbar Lane, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANNETTE MADRID 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).