MARK D PENNINGTON MD (Credential# 394165) 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.
MARK D PENNINGTON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036947. 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 1 Lake St, New Britain, CT 06052-1396. The current status is active.
| Licensee Name | MARK D PENNINGTON MD |
| Credential ID | 394165 |
| Credential Number | CSP.0036947 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Lake St New Britain CT 06052-1396 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-01-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560593 | 1.043011 | Physician/Surgeon | 2004-12-22 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 1 LAKE ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052-1396 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen J Bosco | 1 Lake St, New Britain, CT 06052-1396 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Kayvon Alizadeh | 1 Lake St, New Britain, CT 06052-1396 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alan L Stern | 1 Lake St, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wael El Mallah | 1 Lake St, New Britain, CT 06052-1396 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin Richard Kear | 1 Lake St Bldg D, New Britain, CT 06052-1396 | Controlled Substance Registration for Practitioner | 2020-02-04 ~ 2021-02-28 |
| Richard F Scarlett | 1 Lake St Bldg D, New Britain, CT 06052-1396 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen L Pillsbury | 1 Lake St Bldg D, New Britain, CT 06052-1396 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa G Ibsen | 126 Winthrop Street, New Britain, CT 06052 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Angelo's Market | 349 W Main St, New Britain, CT 06052 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mya S Tillman | 285 Monroe Street, New Britain, CT 06052 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Victoria Karolczyk | 20 Caral Street, New Britain, CT 06052 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Joanne Walker | 61 Brookside Road, New Britain, CT 06052 | Real Estate Salesperson | ~ |
| Elizabeth J Laska | 425 Lincoln Street, New Britain, CT 06052 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Amparo Channer | 290 Corbin Avenue, New Britain, CT 06052 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Renee' Christa Joseph-ervin | 8 West End Ave, New Britian, CT 06052 | Notary Public Appointment | 2020-06-17 ~ 2025-06-30 |
| Susan B Vitelli | 141 Streamside Lane, New Britain, CT 06052 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kaylie Jean Washburn | 105 South Burritt St. Apt. 2, New Britain, CT 06052 | Professional Counselor Associate | 2020-06-17 ~ 2021-03-31 |
| Find all Licenses in zip 06052 | |||
| City | NEW BRITAIN |
| Zip Code | 06052 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW BRITAIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent E Pennington Md | 10 Avalon Dr Apt 3332, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Paul F Cerza Md | 16 Pennington Drive, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jennifer A Pennington Dvm | 11 Taylor Ridge, Clinton, CT 06413 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Mark P Goldstein Md | 754 E 6th St #5d, New York, NY 10009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark R Cullen Md | 22 Lee Way, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Mark C Lee Md | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark Kiessling Pa | 41 Hilltop Dr., Newbury, NH 03255 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark Josel | 4 Northwestern Dr Ste 100, Bloomfield, CT 06002-3444 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Mark A Robbin | 720 Hopmeadow St, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mark Weremchuk Md | 51 Yowago Ave, Branford, CT 06405 | 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).