FREEMAN P BOTNICK MD (Credential# 444914) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
FREEMAN P BOTNICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039544. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 99 Summit Rd, New London, NH 03257-7000. The current status is inactive.
| Licensee Name | FREEMAN P BOTNICK MD |
| Credential ID | 444914 |
| Credential Number | CSP.0039544 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
99 Summit Rd New London NH 03257-7000 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-07-24 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2013-03-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 542794 | 1.018590 | Physician/Surgeon | 1977-01-12 | 2011-09-01 - 2012-08-31 | INACTIVE |
| Street Address | 99 SUMMIT RD |
| City | NEW LONDON |
| State | NH |
| Zip Code | 03257-7000 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caryl R Cutts | 271 Gay Farm Rd., New London, NH 03257 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Winifred S Demille | 668 Main Street, New London, NH 03257 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Justin D Donaghy | 370 Bunker Road, New London, NH 03257 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Ross Alan Stevens | 215 Sargent Rd, New London, NH 03257 | Professional Engineer | 2011-02-01 ~ 2012-01-31 |
| Donald A Bartlett Jr | 154 Pine Hill Road, New London, NH 03257 | Professional Engineer | 2008-03-25 ~ 2009-01-31 |
| Miriam N Cordell | 684 Burpee Hill Rd, New London, NH 03257 | Registered Nurse | 2013-02-01 ~ 2014-01-31 |
| David B Romanoff | Box 38, New London, NH 03257 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
| Frederick A Downey | 18 The Seasons, New London, NH 03257 | Certified Public Accountant Certificate | ~ |
| Donnajean B Lavoie | 47 Barrett Rd, New London, NH 03257 | Registered Nurse | 1997-05-27 ~ 1998-06-30 |
| Catherine Schneyer | Rr 2 Po Box 771, New London, NH 03257 | Registered Nurse | 1992-01-23 ~ 1993-01-31 |
| Find all Licenses in zip 03257 | |||
| City | NEW LONDON |
| Zip Code | 03257 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jamie B Freeman | 3 Daria Dr, Bolton, CT 06043-7800 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle R. Freeman Pa-c | 48 Argyle Rd, Milford, CT 06460-6325 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Stanley P Freeman | 329 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Angela J Gasior Pa | 281 Freeman St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2004-05-25 ~ 2005-02-28 |
| Joseph A Freeman | 1515 Forest, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1993-07-02 ~ 1995-09-01 |
| James V Freeman | 7 Highland Street, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam J Freeman | 329 Riverside Avenue, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nelson C Freeman | 117 River Rd., East Haddam, CT 06423 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Jennifer A Freeman | 36 Apple Tree Lane, Portland, CT 06480 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce G Freeman | 1110 Durham Road, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on FREEMAN P BOTNICK 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).