DAVID THOMAS MADURAM (Credential# 1789238) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 26, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DAVID THOMAS MADURAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072496. The credential type is controlled substance registration for practitioner. The effective date is September 26, 2019. The expiration date is February 28, 2021. The business address is 738 Flintlock Rd, Southport, CT 06890-1091. The current status is active.
| Licensee Name | DAVID THOMAS MADURAM |
| Credential ID | 1789238 |
| Credential Number | CSP.0072496 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
738 Flintlock Rd Southport CT 06890-1091 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-26 |
| Effective Date | 2019-09-26 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-09-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1677934 | 1.064302 | Physician/Surgeon | 2019-09-26 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 738 FLINTLOCK RD |
| City | SOUTHPORT |
| State | CT |
| Zip Code | 06890-1091 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | SOUTHPORT |
| Zip Code | 06890 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Thomas Decoteau | 22 Candice Cir, Springfield, MA 01107-1244 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David J. Thomas | 1100 Turtle Creek Dr Apt F, Greenville, NC 27858-5961 | Controlled Substance Registration for Practitioner | 2013-06-27 ~ 2015-02-28 |
| David B Thomas | Division of Infections Diseases, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| David F Lee Dds | 521 3rd Ave Apt 2, New York, NY 10016-4747 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David A Williams | David Williams Aprn, Danbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Cone Md | 58 Middletown Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2003-07-02 ~ 2004-02-28 |
| James D Thomas Pa-c | Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2008-02-29 ~ 2009-02-28 |
| Antonio Thomas | 128 Bay Ave, New Britain, CT 06053-2205 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Thomas J May Do | 50 Brookmoor Rd, Avon, CT 06001-2301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas J Lee | 123 York St Apt 14a, New Haven, CT 06511-5696 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DAVID THOMAS MADURAM.
| 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).