ELLEN MCMAHON MD (Credential# 335411) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 10, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.
ELLEN MCMAHON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033400. The credential type is controlled substance registration for practitioner. The effective date is April 10, 2003. The expiration date is February 28, 2004. The business address is 145 Penn Drive, West Hartford, CT 06119. The current status is inactive.
| Licensee Name | ELLEN MCMAHON MD |
| Credential ID | 335411 |
| Credential Number | CSP.0033400 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
145 Penn Drive West Hartford CT 06119 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2003-04-10 |
| Expiration Date | 2004-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557014 | 1.039429 | Physician/Surgeon | 2001-04-16 | 2002-12-03 - 2004-01-31 | INACTIVE |
| Street Address | 145 PENN DRIVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Mcmahon | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian Mcmahon Md | 230 Forest Rd, Douglaston, NY 11363 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Kevin Mcmahon | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2014-08-20 ~ |
| Kathleen M Mcmahon-brown | 25 Lomartra Ln, Branford, CT 06405-6147 | Controlled Substance Registration for Practitioner | 2020-06-22 ~ 2021-02-28 |
| Kevin D Mcmahon Md | 546 South Broad Street, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Erin K Mcmahon | 148 South Hoop Pole Rd, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kyle Mcmahon | 2017 Linden Ave, South Plainfield, NJ 07080-5410 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ellen R Prasinos | 18 Oak Ave, Madison, CT 06443-2840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen J Adomelis | 1 Rowe Ave, Milford, CT 06461-3031 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ellen S. Pappano Md | 36 Haverford St, Hamden, CT 06517-1909 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on ELLEN MCMAHON MD.
| 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).