MARTIN MASS OD (Credential# 194384) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MARTIN MASS OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026625. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 33 Southpond Road, South Glastonbury, CT 06073. The current status is active.
| Licensee Name | MARTIN MASS OD |
| Credential ID | 194384 |
| Credential Number | CSP.0026625 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
33 Southpond Road South Glastonbury CT 06073 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 762500 | 3.000755 | Optometrist | 1972-08-15 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 33 SOUTHPOND ROAD |
| City | SOUTH GLASTONBURY |
| State | CT |
| Zip Code | 06073 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Belltown Hill Orchards LLC | 483 Matson Hill Rd, South Glastonbury, CT 06073 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Catherine L Cuva | 65 Backland Rd, South Glastonbury, CT 06073 | Speech and Language Pathologist | ~ |
| Nitu M Kashyap Md | 199 Old Maids Lane, South Glastonbury, CT 06073 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| L V Fuel Company LLC | 891 Main St, South Glastonbury, CT 06073 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Daniel W Babella | 55 Hopewell Heights, South Glastonbury, CT 06073 | Water Treatment Plant Operator In Training | 2020-04-01 ~ 2023-03-31 |
| Anne T Rolfe | 8 High Ridge Road, Glastonbury, CT 06073 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Audrey C Mcfarlane-nelson · Mcfarlane | 81 Glastonbury Hunt Lane, S. Glastonbury, CT 06073 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alan J Dumaine | 391 Tryon Street, South Glastonbury, CT 06073 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Lottie's Country Kitchen · Carol Mulazzi Dba | 2187 New London Tnpk, South Glastonbury, CT 06073 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dondero Orchards LLC | 529 Woodland St, South Glastonbury, CT 06073 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06073 | |||
| City | SOUTH GLASTONBURY |
| Zip Code | 06073 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTH GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter J Anastasia Md · Mass Mutual Insurance Co | Mass Mutual Insurance Co, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Randall R Long Md | Univ of Mass Med Ctr, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Gary Fudem Md | University of Mass. Center, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Catherine Phillips Md · University of Massachuetts | Univ of Mass/medical Center/department of Neuro., Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2003-03-06 ~ 2004-02-28 |
| Martin Ortiz | 644 W Putnam Ave, Greenwich, CT 06830-6088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martin J Frank | 280 Montauk Ave, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Martin L Jaffe Md | 4809 Ave N #126, Brooklyn, NY 11234 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Craig M Martin | 127 Balsam Dr, Waynesville, NC 28786-4301 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Martin J Vogel | 297 George St Apt 7c, New Haven, CT 06511-6646 | Controlled Substance Registration for Practitioner | 2009-10-20 ~ 2011-02-28 |
| Robyn Martin | 98 Andrews Rd, Marlborough, MA 01752-1359 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on MARTIN MASS OD.
| 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).