MALCOLM CREIGHTON-SMITH (Credential# 2042869) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 7, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MALCOLM CREIGHTON-SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065435. The credential type is physician/surgeon. The effective date is May 7, 2020. The expiration date is May 31, 2021. The business address is 21 South Rd, Farmington, CT 06032-2482. The current status is active.
Licensee Name | MALCOLM CREIGHTON-SMITH |
Credential ID | 2042869 |
Credential Number | 1.065435 |
Credential Type | Physician/Surgeon |
Business Address |
21 South Rd Farmington CT 06032-2482 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-05-07 |
Effective Date | 2020-05-07 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1425166 | CSP.0065503 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
1488410 | 1.057805-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2020-06-30 | ACTIVE |
Street Address | 21 SOUTH RD |
City | FARMINGTON |
State | CT |
Zip Code | 06032-2482 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Katalin Ferenczi | 21 South Rd, Farmington, CT 06032-2482 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Hao Feng | 21 South Rd, Farmington, CT 06032 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Marti J Rothe | 21 South Rd, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kimberley Rutherford | 21 South Rd, Farmington, CT 06032-2482 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sally A Cote | 21 South Rd, Farmington, CT 06030-4035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dermatology At Farmington · Kimberly Metcalf | 21 South Rd, Farmington, CT 06032-2482 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Soheil S Dadras | 21 South Rd, Farmington, CT 06032-2410 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
Nikita Lakdawala | 21 South Rd, Farmington, CT 06032-2482 | Controlled Substance Registration for Practitioner | ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas A Feldman Md · Gastroenterology & Internal Med | 21 South Rd Ste 100, Farmington, CT 06032-2482 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Janelle R. Mallett | 21 South Rd Fl 2, Farmington, CT 06032-2482 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Karl M Dauphinais | 21 South Rd Ste 110, Farmington, CT 06032-2482 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
Benjamin J Wycherly Md | 21 South Rd Ste 112, Farmington, CT 06032-2482 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Michael Horwich | 21 South Rd Fl 2, Farmington, CT 06032-2482 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06032 |
City | FARMINGTON |
Zip Code | 06032 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + FARMINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mark G Creighton | 182 Montauk Highway, Suite 1c, Hampton Bays, NY 11946 | Physician/surgeon | ~ |
Malcolm A Galen | 8 Stonepost, Simsbury, CT 06070 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
Malcolm M Ellison | 960 Ocean Ave, New London, CT 06320 | Physician/surgeon | 1994-06-20 ~ 1995-08-31 |
Barjinder Darbhanga | 50 Malcolm St, Hamden, CT 06514 | Physician/surgeon | 2008-05-05 ~ 2009-05-31 |
Malcolm S Edgar Jr | 410 Washington St, Norwich, CT 06360 | Physician/surgeon | 2000-01-10 ~ 2001-03-31 |
Xinzhu Pang | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Jing Liu | One Malcolm Avenue, Teterboro, NJ 07608 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Malcolm K Johnson | 420 Jefferson Ave Apt 1, Brooklyn, NY 11221-1087 | Physician/surgeon | 2019-10-03 ~ 2020-09-30 |
Malcolm B Bowers Jr | 300 George Street, New Haven, CT 06511 | Physician/surgeon | 2007-09-24 ~ 2008-09-30 |
Malcolm Brochin Md | 16 Hemlock Hollow, Woodbridge, CT 06525 | Physician/surgeon | 2004-02-25 ~ 2005-04-30 |
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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).