MATTHEW R DUKEHART MD (Credential# 164543) 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.
MATTHEW R DUKEHART MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022338. 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 175 West Rd, Ellington, CT 06029-3730. The current status is active.
| Licensee Name | MATTHEW R DUKEHART MD |
| Credential ID | 164543 |
| Credential Number | CSP.0022338 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
175 West Rd Ellington CT 06029-3730 |
| 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 | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 551459 | 1.033860 | Physician/Surgeon | 1994-07-01 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 175 WEST RD |
| City | ELLINGTON |
| State | CT |
| Zip Code | 06029-3730 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kmr Hometown Pizza Inc · Home Town Pizza | 175 West Rd, Ellington, CT 06029-3730 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hometown Pizza | 175 West Rd, Ellington, CT 06029-3730 | Tavern Liquor | 2019-12-08 ~ 2021-04-07 |
| Kelly A Boucher · Cold Creek Tavern | 175 West Rd, Ellington, CT 06029-3730 | Cafe Liquor | 2019-10-18 ~ 2021-02-17 |
| Ellington Center Liquor Shoppe | 175 West Rd, Ellington, CT 06029-3730 | Lottery Sales Agent | 2015-04-01 ~ 2016-03-31 |
| Kenneth M Braga · Ellington Center Liquor Shoppe | 175 West Rd, Ellington, CT 06029-3730 | Package Store Liquor | 2015-01-28 ~ 2016-01-27 |
| Max D Collins · Hidden Still (the) | 175 West Rd, Ellington, CT 06029-3730 | Restaurant Liquor | 2014-08-06 ~ 2015-08-04 |
| Dania Foodmart 5 | 175 West Rd, Ellington, CT 06029-3730 | Retail Dairy Store | 2013-07-01 ~ 2014-06-30 |
| Curves for Women | 175 West Rd, Ellington, CT 06029 | Health Club | 2006-10-30 ~ 2007-09-30 |
| Ellington Supermarket · Fitgerald Associates Dba | 175 West Rd, Ellington, CT 06029 | Bakery | 2006-07-01 ~ 2007-06-30 |
| Ellington Supermarket · Fitzgerald Assoc Inc Dba | 175 West Rd, Ellington, CT 06029 | Vending Machine Operator | 2006-07-01 ~ 2007-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anna Sidiropoulos · Hometown Pizza | 175 West Rd Ste 10, Ellington, CT 06029-3730 | Restaurant Beer | 2015-03-13 ~ 2016-03-12 |
| Jennifer B Carroll · Lepris Burger Bar | 175 West Rd # 6-8, Ellington, CT 06029-3730 | Restaurant Liquor | 2012-10-07 ~ 2013-10-06 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Houlihan | 42 Crane Road, Ellington, CT 06029 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Christine E Powers | 94 Abbott Road, Ellington, CT 06029 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathryn R Walker | 3 Maplewood Dr, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Megan Elizabeth Knowling | 40 Ellridge Pl, Ellington, CT 06029 | Emergency Medical Technician | ~ |
| Elizabeth J Rhoads | 18 Crystal Ridge Dr., Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy S Nicolescu | 21 Lake Street, Ellington, CT 06029 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Emily Albertson | 155 Windermere Ave #3005, Ellington, CT 06029 | Registered Nurse | ~ |
| Meghan Laughlan | 3 Crystal Ball Ct, Ellington, CT 06029 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly A Havener | 187 Mountain Street, Ellington, CT 06029 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol G Aborn | 21 Upper Butcher Rd., Ellington, CT 06029 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06029 | |||
| City | ELLINGTON |
| Zip Code | 06029 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ELLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew B Palmer | CT | Controlled Substance Registration for Practitioner | ~ |
| Matthew Lin | 5 Van Winkle St, Bloomfield, NJ 07003 | Controlled Substance Registration for Practitioner | 2015-06-29 ~ 2017-02-28 |
| Matthew J Finn | 18 W Elm St, New Haven, CT 06515-2129 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew D Paul | 69 Sand Pit Rd, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew D Merguerian | 114 Canner St Apt 2, New Haven, CT 06511-2202 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Matthew R Brackman | 646 Converse St, Longmeadow, MA 01106-1715 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Matthew D Kasulke | 222 Dale St, Syracuse, NY 13208-2328 | Controlled Substance Registration for Practitioner | 2015-05-07 ~ 2017-02-28 |
| Matthew Murray | 54 Magnolia St, Arlington, MA 02474 | Controlled Substance Registration for Practitioner | 2020-02-19 ~ 2021-02-28 |
| Matthew D Rogers | 945 Main St Ste 101, Manchester, CT 06040-6064 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew J Dacosta | 933 Maplewood St, New Bedford, MA 02745-3308 | 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).