TYLER MADDOX (Credential# 1666241) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 5, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
TYLER MADDOX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071399. The credential type is controlled substance registration for practitioner. The effective date is June 5, 2019. The expiration date is February 28, 2021. The business address is 11 Allen St Apt 3, Mystic, CT 06355-2972. The current status is active.
Licensee Name | TYLER MADDOX |
Credential ID | 1666241 |
Credential Number | CSP.0071399 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
11 Allen St Apt 3 Mystic CT 06355-2972 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-06-05 |
Effective Date | 2019-06-05 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-06-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1637727 | 47.004521 | Veterinarian | 2019-06-04 | 2020-01-01 - 2020-12-31 | ACTIVE |
Street Address | 11 ALLEN ST APT 3 |
City | MYSTIC |
State | CT |
Zip Code | 06355-2972 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06355 |
City | MYSTIC |
Zip Code | 06355 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephen J Maddox Md | 14 Nighthawk Lane, Sandy Hook, CT 06482 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
John M Maddox Md | 345 Buckland Hills Dr #8321, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Timothy Tyler Md | Po Box 138, Stonington, CT 06378-0138 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Tyler F Stewart | 40 Amos St, Hamden, CT 06518-1802 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Marta Kokoszynska | 12 Tyler Dr, Stamford, CT 06903-2201 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Tyler J. West | 84 Doane Rd, Ware, MA 01082-9387 | Controlled Substance Registration for Practitioner | 2013-04-02 ~ 2015-02-28 |
Sarah Misraji | 327 Tyler St, Fredericksburg, VA 22401-7141 | Controlled Substance Registration for Practitioner | 2020-01-06 ~ 2021-02-28 |
Tyler A Mammone | 28 Overlook Dr, Milford, CT 06460-4330 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Tyler Stanley | 16 Valerie Dr, Bolton, CT 06043-7845 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Tyler D Ferraro | 150 Southfield Ave, Stamford, CT 06902 | 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).