STEVEN H MADONICK (Credential# 190546) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 8, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
STEVEN H MADONICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026383. The credential type is controlled substance registration for practitioner. The effective date is April 8, 2019. The expiration date is February 28, 2021. The business address is 391 Pomfret St, Putnam, CT 06260-1852. The current status is active.
| Licensee Name | STEVEN H MADONICK |
| Credential ID | 190546 |
| Credential Number | CSP.0026383 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
391 Pomfret St Putnam CT 06260-1852 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-04-08 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1395708 | CSP.0064519 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 554027 | 1.036436 | Physician/Surgeon | 1997-10-03 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 391 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1852 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chr Putnam | 391 Pomfret St, Putnam, CT 06260-1852 | Psychiatric Outpatient Clinic | 2018-10-01 ~ 2022-09-30 |
| Milestone/new Life Center/pathways | 391 Pomfret St, Putnam, CT 06260-1852 | Substance Abuse | 2018-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
| Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
| Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
| Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
| Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
| June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PUTNAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria M Madonick | 531 Amity Rd, Woodbridge, CT 06525-1201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Steven D Cherry Do | Po Box 73, Arlington, VT 05250-0073 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Steven C Greenberg Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Steven C Kim | 217 Davey St Apt D, Bloomfield, NJ 07003-6148 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven C Oh | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2011-06-23 ~ 2013-02-28 |
| Steven H Williams | 324 Yale Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2004-09-03 ~ 2005-02-28 |
| Steven S Liu | 4626 Willow Rd Ste 200, Pleasanton, CA 94588-8564 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Steven K Bergstrom | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Steven M Heffer | 161 Boston Ave, Bridgeport, CT 06610-1662 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on STEVEN H MADONICK.
| 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).