DIANE E SMITH MD (Credential# 370866) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
DIANE E SMITH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034936. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 63 Robertson Drive, Hamden, CT 06518. The current status is inactive.
| Licensee Name | DIANE E SMITH MD |
| Credential ID | 370866 |
| Credential Number | CSP.0034936 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
63 Robertson Drive Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-05-24 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559794 | 1.042212 | Physician/Surgeon | 2004-03-12 | 2015-11-01 - 2016-10-31 | INACTIVE |
| 466820 | CSP.0041300 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-29 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 63 ROBERTSON DRIVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane Kim | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane M Durgan | Po Box 9317, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2019-05-07 ~ 2021-02-28 |
| Diane Paggioli | 63 Clinton St, Newport, RI 02840-3906 | Controlled Substance Registration for Practitioner | 2017-02-28 ~ 2019-02-28 |
| Diane Chan | 25 Thatcher St Apt 1, Brookline, MA 02446-3532 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Diane D Timms Do | 216 Wilderness Way, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Diane E Gawronski Dmd | 14 Westbrook Rd, Centerbrook, CT 06409 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane L Whitaker-worth Md | 26 Fox Den Rd, Avon, CT 06001-2542 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane Goodwin Pa-c | 5 Brookhills Rd, Branford, CT 06405-2815 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Diane L Batza | 522 Aberdeen St, Carmel, IN 46032 | Controlled Substance Registration for Practitioner | ~ |
| Leann M Laspino | 22 Diane Ln, Colchester, CT 06415-1756 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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).