MATTHEW BRADEN BURNS MILLER (Credential# 1677197) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 22, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MATTHEW BRADEN BURNS MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072014. The credential type is controlled substance registration for practitioner. The effective date is July 22, 2019. The expiration date is February 28, 2021. The business address is 12 Somerset Ln, Old Lyme, CT 06371-1737. The current status is active.
| Licensee Name | MATTHEW BRADEN BURNS MILLER |
| Credential ID | 1677197 |
| Credential Number | CSP.0072014 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12 Somerset Ln Old Lyme CT 06371-1737 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-22 |
| Effective Date | 2019-07-22 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1518552 | 2.012339 | Dentist | 2018-08-07 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 12 SOMERSET LN |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371-1737 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Megan Mary Burns Miller | 12 Somerset Ln, Old Lyme, CT 06371 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Matthew J Kane | 12 Somerset Ln, Old Lyme, CT 06371-1737 | Emergency Medical Responder | 2016-06-16 ~ 2019-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Veronica O Lee | 2 Somerset Ln, Old Lyme, CT 06371-1737 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Amy L Lee | 2 Somerset Ln, Old Lyme, CT 06371-1737 | Emergency Medical Technician | 2016-10-21 ~ 2019-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
| All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06371 | |||
| City | OLD LYME |
| Zip Code | 06371 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + OLD LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew Burns | 19 Crestwood Rd, Simsbury, CT 06070-1731 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew M Miller | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2011-05-18 ~ 2013-02-28 |
| Daphne Braden | 46 W Avon Rd, Unionville, CT 06085-1164 | Controlled Substance Registration for Practitioner | 2015-08-18 ~ 2017-02-28 |
| Shivanna V Kumar Md | 9232 S Braden Pl, Tulsa, OK 74137-4031 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory L Braden | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Noreen Haseeb | 2800 Braden Ave Apt 216, Modesto, CA 95356-0659 | Controlled Substance Registration for Practitioner | ~ |
| Abigail Elizabeth Braden | 44 Orange St Apt 218, New Haven, CT 06510-3131 | Controlled Substance Registration for Practitioner | 2020-06-23 ~ 2021-02-28 |
| Joel E Burns | 3 Lexington St, Wethersfield, CT 06109-1229 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Micah A Burns | 10 Amsterdam Ave Apt 1101, New York, NY 10023-7496 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jennifer B Burns | 1 Arlyn Ridge Rd, Newtown, CT 06470-2552 | 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).