MARCY ANN MCINTOSH (Credential# 1692603) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 20, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
MARCY ANN MCINTOSH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072452. The credential type is controlled substance registration for practitioner. The effective date is September 20, 2019. The expiration date is February 28, 2021. The business address is 193 Herrick Rd, Riverside, IL 60546-2045. The current status is inactive.
| Licensee Name | MARCY ANN MCINTOSH |
| Credential ID | 1692603 |
| Credential Number | CSP.0072452 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
193 Herrick Rd Riverside IL 60546-2045 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2019-09-20 |
| Effective Date | 2019-09-20 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1673683 | 1.064139 | Physician/Surgeon | 2019-08-26 | 2019-08-26 - 2019-11-30 | INACTIVE |
| Street Address | 193 HERRICK RD |
| City | RIVERSIDE |
| State | IL |
| Zip Code | 60546-2045 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leonard J Skiba | 129 Herrick Rd, Riverside, IL 60546 | Architect | 2000-08-01 ~ 2001-07-31 |
| Opella F Ernest | 689 Selborne Road, Riverside, IL 60546 | Physician/surgeon | 2004-10-26 ~ 2005-09-30 |
| Susan J Mcchesney | 162 Maplewood Road, Riverside, IL 60546 | Registered Nurse | 1999-07-12 ~ 2000-09-30 |
| Heather L Devaris | 70 Northgate Rd, Riverside, IL 60546-1639 | Registered Nurse | 2014-08-01 ~ 2015-07-31 |
| Marc K Adelman | 342 Eastgrove Rd, Riverside, IL 60546-1708 | Architect | 2019-08-01 ~ 2020-07-31 |
| Jewel Pharmacy Rx Corp · Jewel Pharmacy | 51 E Burlington St Ste C, Riverside, IL 60546-2124 | Nonresident Pharmacy | 2020-03-17 ~ 2020-08-31 |
| Margaret Roche | 51 E Burlington St, Riverside, IL 60546-2124 | Dietitian/nutritionist | 2018-10-01 ~ 2019-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Transportation Association of Greenwich | 13 Riverside Ave, Riverside, CT 06878-1606 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Hillary W Grogan | 22 Marks Rd, Riverside, CT 06878-2322 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| John J Fareri · Carne Nudo | 1114 E Putnam Ave, Riverside, CT 06878-1306 | Hotel Liquor (50000 Or More Population) | 2019-05-07 ~ 2020-09-06 |
| Steve Metalios | 45 Willow Rd, Riverside, CT 06878-2415 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Gregory Addonizio · Aux Delices | 1075 E Putnam Ave, Riverside, CT 06878-1341 | Restaurant Liquor | ~ |
| Aux Delices Inc | 1075 East Putnam Ave, Riverside, CT 06775 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Odysseas D Kostas Md | 15 Bramble Ln, Riverside, CT 06878-1801 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Patricia Marnane Minicozzi | 25 Birdsong Pl, Riverside, CT 06878-1002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Catherine Carol Pettit | 186 Riverside Dr, Riverside, RI 02915-4833 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Natalia Manevich Md | 4 Crawford Terrace, Riverside, CT 06878 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in RIVERSIDE | |||
| City | RIVERSIDE |
| Zip Code | 60546 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + RIVERSIDE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Muhammad Islam Md | 91 Mcintosh Rd, Stamford, CT 06903 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jeannie L Mcintosh | 16 Park Pl 1st Fl, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marcy Dillon | 110 Lisbon Dr, Fairfield, CT 06825-2640 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marcy A Cheifetz Md | 615 Reef Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Marcy Carty | 76 Center St Fl 3, Waterbury, CT 06702-2129 | Controlled Substance Registration for Practitioner | 2019-01-25 ~ 2021-02-28 |
| Marcy A Calsetta | 7 Garland Dr, Glastonbury, CT 06033-1251 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bryan Mcintosh | Hospital of St Raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Lionel S Mcintosh | 1450 Chapel St Rm 224, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | 2011-08-22 ~ 2013-02-28 |
| Caitlin E Mcintosh | 1269 Main St, Glastonbury, CT 06033-3123 | Controlled Substance Registration for Practitioner | 2019-05-09 ~ 2021-02-28 |
| Michelle C Marcy | 121 Central Avenue, Hamden, CT 06517-1810 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Please comment or provide details below to improve the information on MARCY ANN MCINTOSH.
| 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).