THOMAS FABIAN MD (Credential# 373751) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 30, 2012. The license expiration date date is February 28, 2013. The license status is INACTIVE.
THOMAS FABIAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035142. The credential type is controlled substance registration for practitioner. The effective date is January 30, 2012. The expiration date is February 28, 2013. The business address is 31 Queen Anne Dr, Slingerlands, NY 12159-9382. The current status is inactive.
| Licensee Name | THOMAS FABIAN MD |
| Credential ID | 373751 |
| Credential Number | CSP.0035142 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
31 Queen Anne Dr Slingerlands NY 12159-9382 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2004-06-22 |
| Effective Date | 2012-01-30 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560060 | 1.042478 | Physician/Surgeon | 2004-05-24 | 2011-05-01 - 2012-04-30 | INACTIVE |
| Street Address | 31 QUEEN ANNE DR |
| City | SLINGERLANDS |
| State | NY |
| Zip Code | 12159-9382 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dennis A Ross | 323 Highgate Dr, Slingerlands, NY 12159 | Architect | 2020-08-01 ~ 2021-07-31 |
| James Thomas | 3027 Squire Boulevard, Slingerlands, NY 12159 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Stephanie R Lombardi | 9 Gullane Drive, Slingerlands, NY 12159 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Brianna P. Samson | 6 Eastmount Dr., Slingerlands, NY 12159 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
| Mark D Woodruff | 834 Kenwood Ave, Slingerlands, NY 12159 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
| Richard G Kotlow | 52 Middlesex Drive, Slingerlands, NY 12159 | Certified Public Accountant License | 1997-01-01 ~ 1997-12-31 |
| Daniela Victoria Rose Dethomasis | 113 Meadowbrook Dr, Slingerlands, NY 12159 | Pharmacist | 2009-02-01 ~ 2010-01-31 |
| Christopher S Desorbo | 27 North Helderberg Parkway, Slingerlands, NY 12159 | Pharmacist | 2009-02-13 ~ 2010-01-31 |
| Jessica Locke Richer | 47 Surrey Mall, Slingerlands, NY 12159 | Nursing Home Administrator | 2008-03-17 ~ 2010-05-31 |
| Stephen H Duda | 2087 New Scotland Rd, Slingerlands, NY 12159 | Architect | 2000-08-04 ~ 2001-07-31 |
| Find all Licenses in zip 12159 | |||
| City | SLINGERLANDS |
| Zip Code | 12159 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SLINGERLANDS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fabian A Romero | 1450 Chapel St Rm 224, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Fabian G Hosein Dds | 10816 N David Ct, Peria, IL 61615 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Taryn L Fabian Pa-c | 7 Applewood Dr, Quaker Hill, CT 06375-1331 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren M Fabian | 305 Black Rock Tpke, Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kathalina Fabian-fontenot | 36 Old Colony Rd, North Stonington, CT 06359-1523 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fabian Williams | 17092 Nw 10th St, Pembroke Pines, FL 33028-2106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas J Lee | 123 York St Apt 14a, New Haven, CT 06511-5696 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James D Thomas Pa-c | Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2008-02-29 ~ 2009-02-28 |
| Thomas J May Do | 50 Brookmoor Rd, Avon, CT 06001-2301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Antonio Thomas | 128 Bay Ave, New Britain, CT 06053-2205 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).