NICHOLAS MATTHEW CUNDIFF (Credential# 2055267) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 15, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
NICHOLAS MATTHEW CUNDIFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074502. The credential type is controlled substance registration for practitioner. The effective date is June 15, 2020. The expiration date is February 28, 2021. The business address is 1129 Armstrong Ave, Charleston, SC 29407-7001. The current status is active.
Licensee Name | NICHOLAS MATTHEW CUNDIFF |
Credential ID | 2055267 |
Credential Number | CSP.0074502 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1129 Armstrong Ave Charleston SC 29407-7001 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-06-15 |
Effective Date | 2020-06-15 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-06-17 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2020507 | 1.066118-DO | Physician/Surgeon | 2020-06-05 | 2020-06-05 - 2020-12-31 | ACTIVE |
Street Address | 1129 ARMSTRONG AVE |
City | CHARLESTON |
State | SC |
Zip Code | 29407-7001 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brittany Danielle Carter | 45 Sycamore Ave Apt 1615, Charleston, SC 29407 | Respiratory Care Practitioner | 2020-05-04 ~ 2021-05-31 |
Michael A Cohen | 15 St. Augustine Drive, Charleston, SC 29407 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Amelia M Joseph | 1829 Wilshire Dr, Charleston, SC 29407 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
Keith Werner | 1410 N Edgewater Dr, Charleston, SC 29407 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Howard B Garfinkel Md | 237 Confederate Circle, Charleston, SC 29407 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Russ Cooper Associates Inc | 46 Indigo Point Dr, Charleston, SC 29407 | Home Improvement Contractor | 2013-12-01 ~ 2014-11-30 |
Owen S Welling · Charleston Naval Shipyard | 3 Lord Ashley, Charleston, SC 29407 | Professional Engineer | 1989-02-07 ~ 1990-01-31 |
Christopher J Constantine | 78 Brisbane Dr, Charleston, SC 29407 | Professional Engineer | 1999-02-09 ~ 2000-01-31 |
Tina Darbo-murray | 1413 Birthright Street, Charleston, SC 29407 | Registered Nurse | 2011-11-01 ~ 2012-10-31 |
Palmetto State Pharmaceuticals | 2000 Sam Rittenberg Blvd Suite 116, Charleston, SC 29407 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2011-07-01 ~ 2012-06-30 |
Find all Licenses in zip 29407 |
City | CHARLESTON |
Zip Code | 29407 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHARLESTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew P Nicholas | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Nicholas T Catanuto Md | Po Box 518, Niantic, CT 06357-0518 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Karen M Soika | 23 Nicholas Ave, Greenwich, CT 06831-4923 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
Nicholas K Sablan | Marb 4th Flr, Farmington, CT 06034-4037 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Nicholas Panaro | 664 Stoneleigh Ave, Carmel, NY 10512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicholas A Viner Md | 160 Hawley Ln, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicholas L Lillo | One Grove St, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicholas M Lodato Md | 5 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Nicholas A Schwartz Md | 232 E 13th St #2a, New York, NY 10003 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Nicholas Druar | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-07-17 ~ 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).