TIMOTHY MACHON (Credential# 164136) 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.
TIMOTHY MACHON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023160. 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 170 Hazard Ave, Enfield, CT 06082-4520. The current status is active.
Licensee Name | TIMOTHY MACHON |
Credential ID | 164136 |
Credential Number | CSP.0023160 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
170 Hazard Ave Enfield CT 06082-4520 |
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 | 2019-01-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
551978 | 1.034380 | Physician/Surgeon | 1995-04-07 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 170 HAZARD AVE |
City | ENFIELD |
State | CT |
Zip Code | 06082-4520 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hemant K Panchal, Md | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Carla Desantis Md | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Thomas Baird Fitzgerald | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
The Jug Shop | 80 Hazard Ave, Enfield, CT 06082-4520 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
Robert P Dudek | 140 Hazard Ave Ste 101, Enfield, CT 06082-4520 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Johnson Memorial Hospital Inc of Stafford Springs Ct | 142 Hazard Avenue, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jeffrey C Wint | 115 Elm Street Suite 208, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Northeast Regional Radiation Oncology Network Inc. · Community Cancercare | 142 Hazard Ave, Enfield, CT 06082-4520 | Outpatient Clinic | 2012-10-01 ~ 2016-09-30 |
Satish Panchal · Jug Shop (the) | 80 Hazard Ave, Enfield, CT 06082-4520 | Package Store Liquor | 2019-09-29 ~ 2020-09-28 |
Richard T Martin | 115 Elm Street, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Jeffrey W Wiesner Sr · Jug Shop | 80 Hazard Ave, Enfield, CT 06082-4520 | Package Store Liquor | 2011-04-14 ~ 2012-04-13 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06082 |
City | ENFIELD |
Zip Code | 06082 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ENFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Timothy C Liu Md | 12845 Pointe Del Mar Way Ste 200, Del Mar, CA 92014-3862 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Timothy Parsons Md | New Britain, CT 06050 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Timothy Tyler Md | Po Box 138, Stonington, CT 06378-0138 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Norman A Machon Jr · Norman A Machon Custom Builders | 699 South County Trail, Exeter, RI 02822 | New Home Construction Contractor | 2000-05-15 ~ 2001-09-30 |
Timothy J Plunkett | 55 Ruane St, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Timothy M Pratt Do | 9 Chatsworth Pl, Farmington, CT 06032-1549 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Timothy E Hansen | 35 State St, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Timothy Taeho Kim | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Timothy J Brumbelow Pa | 80 Van Rensselaer Ave, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Timothy C. Siegrist Md | 520 Saybrook Rd, Middletown, CT 06457-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).