MARINA MATHEW (Credential# 1803969) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARINA MATHEW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072709. The credential type is controlled substance registration for practitioner. The effective date is November 1, 2019. The expiration date is February 28, 2021. The business address is 1 W Glen Ave, Port Chester, NY 10573-2223. The current status is active.
| Licensee Name | MARINA MATHEW |
| Credential ID | 1803969 |
| Credential Number | CSP.0072709 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 W Glen Ave Port Chester NY 10573-2223 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-11-01 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-11-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1691143 | 23.004659 | Physician Assistant | 2019-10-17 | 2019-10-17 - 2020-08-31 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marina Mathew | 263 Farmington Ave Mc-1234, Farmington, CT 06030-1234 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Street Address | 1 W GLEN AVE |
| City | PORT CHESTER |
| State | NY |
| Zip Code | 10573-2223 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose Israel Avelar | 17 W Glen Ave, Port Chester, NY 10573-2223 | Real Estate Salesperson | 2020-03-11 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalie Cristina Perez | 10 Nella Lane, Port Chester, NY 10573 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Santander Contracting LLC | 304 Locust Ave, Port Chester, NY 10573 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
| Starlyn Adames | 65 1/2 Poningo St, Port Chester, NY 10573 | Occupational Therapist | ~ |
| Juliana C Alzate | 140 Grace Church St, Port Chester, NY 10573 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Editha M Comia | 480 King St, Port Chester, NY 10573 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cheryl P Lopez | 14 Fawcett Street, Port Chester, NY 10573 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Madeline X Cole-short | 40 Quintard Dr., Port Chester, NY 10573 | Emergency Medical Responder | ~ |
| Helene A Kimmons | 9 Burdsall Drive, Port Chester, NY 10573 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Leukemia & Lymphoma Society Inc | 3 International Drive, Rye Brook, NY 10573 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Robert M Tramontano | 80 Doral Greens Drive West, Rye Brook, NY 10573 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 10573 | |||
| City | PORT CHESTER |
| Zip Code | 10573 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORT CHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mathew R. Williams | 174 W 76th St Apt 8g, New York, NY 10023-8407 | Controlled Substance Registration for Practitioner | 2015-04-10 ~ 2017-02-28 |
| Mathew D Kline | 212 Wooster St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jenny Mathew | 12 Heritage Dr, Avon, CT 06001-4521 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Mathew Alias Do | 5 King Arthur Way Apt 2, Newington, CT 06111-2228 | Controlled Substance Registration for Practitioner | 2011-11-07 ~ 2013-02-28 |
| Trini A Mathew | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2017-02-28 |
| Eapen S Mathew | 80 Seymour St, Jb333, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Salil Mathew | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anil Mathew Md | 228 Deerbrooke Circle, Soutington, CT 06489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nickie Mathew | 110 Spring Meadow Dr Apt 14, Williamsville, NY 14221-8423 | Controlled Substance Registration for Practitioner | 2013-02-22 ~ 2015-02-28 |
| Linda T Mathew Md | 228 Deerbrooke Circle, Southington, CT 06489 | 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).