GARRETT D NGUYEN MD (Credential# 390957) 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.
GARRETT D NGUYEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036826. 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 Western Connecticut Medical Group, Norwalk, CT 06856. The current status is active.
| Licensee Name | GARRETT D NGUYEN MD |
| Credential ID | 390957 |
| Credential Number | CSP.0036826 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Western Connecticut Medical Group Norwalk CT 06856 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-01-13 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560562 | 1.042980 | Physician/Surgeon | 2004-12-08 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | Western Connecticut Medical Group |
| City | NORWALK |
| State | CT |
| Zip Code | 06856 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carla Stevenson | P.o. Box 1402, Norwalk, CT 06856 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen A Lavorgna | 30 Stevens Street, Suite D, Norwalk, CT 06856 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard L Maiberger | Norwalk Hosp, Norwalk, CT 06856 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David J Lomnitz | Western Ct Medical Group, Norwalk, CT 06856 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Igor E Krichevsky Md | Anesthesia Assoc of So Ct, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gabriela Ashe Hayes | 34 Maple Street, Norwalk, CT 06856 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jonathan M Fine Md | Norwalk Hospital/maple Street, Norwalk, CT 06856 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael Smith Md | Department 0f Anesthesia, Norwalk, CT 06856 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Leonard L Marshall | 5 Marvin St, East Norwalk, CT 06856 | Notary Public Appointment | 1988-04-01 ~ 1993-03-31 |
| Carl Morales Jr | 22 Oak St P.o.b 735, South Norwalk, CT 06856 | Notary Public Appointment | 1986-05-01 ~ 1991-03-31 |
| Find all Licenses in zip 06856 | |||
| City | NORWALK |
| Zip Code | 06856 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Audrey L Garrett | 55 Nye Rd Ste 102, Glastonbury, CT 06033-1281 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lelia J Garrett Md | 1 Perryridge Rd, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Garrett M Manthey | 48 Huckleberry Ln, Berlin, CT 06037-2029 | Controlled Substance Registration for Practitioner | 2020-05-14 ~ 2021-02-28 |
| Garrett J Whittaker | 133 Longmeadow Dr, Torrington, CT 06790-4170 | Controlled Substance Registration for Practitioner | 2020-06-17 ~ 2021-02-28 |
| Jesse Garrett O'shea | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Garrett B Golisano | 39 Blueberry Lane, Stormville, NY 12582 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew P Garrett Md | 945 Main Street, Ste 102, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Garrett R Jaffe | 486 27th Ave N, Saint Petersburg, FL 33704-2838 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emily Rose Garrett | 93 Mount Fair Dr, Watertown, CT 06795-1656 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christopher Nguyen | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2016-07-25 ~ 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).