LOUIS A MATIS MD (Credential# 164446) 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.
LOUIS A MATIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0021405. 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 95 Chester Place, Southport, CT 06890. The current status is active.
| Licensee Name | LOUIS A MATIS MD |
| Credential ID | 164446 |
| Credential Number | CSP.0021405 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
95 Chester Place Southport CT 06890 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-12-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 550896 | 1.033297 | Physician/Surgeon | 1993-09-03 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 95 Chester Place |
| City | SOUTHPORT |
| State | CT |
| Zip Code | 06890 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | SOUTHPORT |
| Zip Code | 06890 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mina Louis Habib Boutrous | 8814 Oak Creek Dr, Saint Louis, MO 63126-2130 | Controlled Substance Registration for Practitioner | 2019-11-19 ~ 2021-02-28 |
| Ira Louis Salom | Po Box 147, Torrington, CT 06790-0147 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Louis R Neumann Od | Po Box 527, Portland, CT 06480-0527 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Louis A Chaptini | 40 Temple St Ste 1, New Haven, CT 06510-2715 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Louis Ruffino Dds | 460 Main St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1978-11-03 ~ 1979-12-01 |
| Louis G Graff Iv | 130 Oakridge, Unionville, CT 06085-1480 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carl Aschkenasi | 426 Carswold Dr., St Louis, MO 63105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Louis J Leblanc Md | Em Department, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Louis Keehn Md | 35 Margaret Ave, Lawrence, NY 11559 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Louis J Tricerri Dds | 292 Alamo Dr Ste 5, Vacaville, CA 95688-4243 | Controlled Substance Registration for Practitioner | 2008-05-02 ~ 2009-02-28 |
Please comment or provide details below to improve the information on LOUIS A MATIS 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).