KUMKUM S MODWEL MD (Credential# 321569) 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.
KUMKUM S MODWEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032736. 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 153 S Main St, Newtown, CT 06470-2791. The current status is active.
| Licensee Name | KUMKUM S MODWEL MD |
| Credential ID | 321569 |
| Credential Number | CSP.0032736 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
153 S Main St Newtown CT 06470-2791 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-09-17 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 556842 | 1.039256 | Physician/Surgeon | 2001-01-25 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 153 S MAIN ST |
| City | NEWTOWN |
| State | CT |
| Zip Code | 06470-2791 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bajraktari Realty Group LLC | 153 S Main St, Newtown, CT 06470-2791 | Real Estate Broker | 2020-06-15 ~ 2021-03-31 |
| Donald G Gordon | 153 S Main St, Newtown, CT 06470-2791 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey P Friedman | 153 S Main St, Newtown, CT 06470-2791 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Victor L Pittman | 153 S Main St, Newtown, CT 06470-2791 | Marital and Family Therapist | 2020-02-01 ~ 2021-01-31 |
| Bliss Allred & Co LLC | 153 S Main St, Newtown, CT 06470-2791 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Resiliency Center of Newtown Inc | 153 S Main St, Newtown, CT 06470-2791 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Kevin's Community Center Inc. · Kevin's Community Center, Inc. | 153 S Main St, Newtown, CT 06470-2791 | Outpatient Clinic | 2013-10-01 ~ 2017-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth J Tardie | 13 Lazybrook Rd, Newtown, CT 06470 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Peter Nagy | 21 Scudder Rd, Newtown, CT 06470 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Cheryl R Schwartz · Nisenbaum | 8 Old Gate Lane, Newtown, CT 06470 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Isabel Da Rocha | 143 Hanover Road, Newtown, CT 06470 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Courtney M Parker | 153 Boggs Hill Rd, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ryan S Doss | 12 Hundred Acres Rd, Newtown, CT 06470 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael B Manes | 21 Aunt Park Ln, Newtown, CT 06470 | Architect | 2020-08-01 ~ 2021-07-31 |
| Real Food Share, Inc. · Real Food Share, Inc. Real Food Share | 11 Orchard Hill Rd, Newtown, CT 06470 | Public Charity | 2020-06-25 ~ 2021-11-30 |
| My Place Pizzeria | 8 Queen St, Newtown, CT 06470 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kiera Elizabeth Elkow | 3 Fox Run Lane, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06470 | |||
| City | NEWTOWN |
| Zip Code | 06470 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Kumkum Rani | 25 Horse Shoe Lane, Stamford, CT 06903 | Registered Nurse | ~ |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Chang Na | 925 Mix Ave Apt 1p, Hamden, CT 06514-5119 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).