CHARLES B BAKER MD (Credential# 167568) 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.
CHARLES B BAKER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023983. 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 400 Mansfield St, New Haven, CT 06511-2023. The current status is active.
| Licensee Name | CHARLES B BAKER MD |
| Credential ID | 167568 |
| Credential Number | CSP.0023983 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
400 Mansfield St New Haven CT 06511-2023 |
| 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 | 2019-01-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 552616 | 1.035021 | Physician/Surgeon | 1995-12-29 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 400 MANSFIELD ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2023 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ayman Saleh | 396 Mansfield St Unit 2, New Haven, CT 06511-2023 | Resident Physician | 2016-07-19 ~ 2020-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee A Baker | 330 N Honeycomb Cir, Sequim, WA 98382-3261 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lauren C Baker | 14 Hosmer St # 1, Watertown, MA 02472-1978 | Controlled Substance Registration for Practitioner | 2019-05-15 ~ 2021-02-28 |
| Alissa C Baker | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Corey Baker | 282 Washington St., Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-04-08 ~ 2021-02-28 |
| Kyle A Baker | 1 Grove St, New Britain, CT 06053-4116 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julie K Baker | 75 Brinsmade Rd, Hamden, CT 06514-1904 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Safisha T Baker | 55 Orange St Apt 201, New Haven, CT 06510-3145 | Controlled Substance Registration for Practitioner | 2019-03-15 ~ 2021-02-28 |
| James Baker | 27 Hillsley Rd, Darien, CT 06820-2217 | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Abu Baker Mahmood | 151 Sumner Ave Apt 4, Springfield, MA 01108-2334 | Controlled Substance Registration for Practitioner | 2015-10-14 ~ 2017-02-28 |
| Jennifer Baker Pa | 15 Bishop St, North Haven, CT 06473-1610 | 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).