BENJAMIN QUILES MD (Credential# 198757) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
BENJAMIN QUILES MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027026. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 16 Merrywood Lane, East Lyme, CT 06333. The current status is inactive.
| Licensee Name | BENJAMIN QUILES MD |
| Credential ID | 198757 |
| Credential Number | CSP.0027026 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
16 Merrywood Lane East Lyme CT 06333 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559688 | 1.042106 | Physician/Surgeon | 2004-01-22 | 2009-05-13 - 2010-06-30 | INACTIVE |
| Street Address | 16 MERRYWOOD LANE |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
| Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
| Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
| Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
| Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
| Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06333 | |||
| City | EAST LYME |
| Zip Code | 06333 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin Evenchik | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-11-14 ~ 2013-02-28 |
| Benjamin W Carelock Dpm | 57 Nash St # 3, New Haven, CT 06511-2617 | Controlled Substance Registration for Practitioner | 2011-04-11 ~ 2013-02-28 |
| Edward H Benjamin Md | 7 Elm St Suite #307, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Benjamin Timungwa | 17 Carmel St, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin Iapaluccio | 18 Birchwood Dr, New Milford, CT 06776-2304 | Controlled Substance Registration for Practitioner | 2019-10-11 ~ 2021-02-28 |
| Benjamin L Kliot | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2019-03-28 ~ 2021-02-28 |
| Benjamin T Galen | 95 Avon St, New Haven, CT 06511-2422 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Benjamin A Tsao | 40 Prospect Ave., Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Benjamin J Vaccaro | 789 Howard Ave, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Benjamin G Druss | 17 Anthony Ct, Bethany, CT 06524 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
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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).