JEFFREY SPANG MD (Credential# 447799) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.
JEFFREY SPANG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040397. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 263 Farmington Ave Mc4037, Farmington, CT 06030-4037. The current status is inactive.
| Licensee Name | JEFFREY SPANG MD |
| Credential ID | 447799 |
| Credential Number | CSP.0040397 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
263 Farmington Ave Mc4037 Farmington CT 06030-4037 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-12-04 |
| Effective Date | 2007-03-01 |
| Expiration Date | 2008-02-29 |
| Refresh Date | 2009-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561732 | 1.044150 | Physician/Surgeon | 2006-03-13 | 2006-06-12 - 2007-07-31 | INACTIVE |
| Street Address | 263 FARMINGTON AVE MC4037 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-4037 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fernando J Checo | 263 Farmington Ave Mc4037, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2011-03-28 ~ 2013-02-28 |
| Bradley C Carofino | 263 Farmington Ave Mc4037, Farmington, CT 06034 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Kathryn S Doughty | 263 Farmington Ave Mc4037, Farmington, CT 06034 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| James W Boyle | 263 Farmington Ave Mc4037, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Michael T Healy | 263 Farmington Ave Mc4037, Farmington, CT 06034 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Joseph P Deangelis | 263 Farmington Ave Mc4037, Farmington, CT 06034 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Merlin J Hamer | 263 Farmington Ave Mc4037, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Isaac L. Moss Md | Uconn Musculoskeletal Institute, Farmington, CT 06030-4037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bruce D Browner Md | Uchc Dept of Orthopaedic Surgery, Farmington, CT 06030-4037 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2015-02-28 |
| Andrew Ritting | 263 Farmington Ave Mc-4037, Farmington, CT 06030-4037 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Robert M Meneghini Md | 263 Farmington Ave Marb, Farmington, CT 06030-4037 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Amir Mostofi | 263 Farmington Avenue Mc-4037, Farmington, CT 06030-4037 | Controlled Substance Registration for Practitioner | 2006-10-10 ~ 2007-02-28 |
| Vincent J Williams | 263 Farmington Ave, Farmington, CT 06030-4037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vincent J Williams | University of Connecticut Health Center, Farmington, CT 06030-4037 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Gabriel T Trainer | Marb 4th Flr, Farmington, CT 06030-4037 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Factor | Jeffrey M. Factor, Md, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey M Ulis | 660 Mix Ave #1h, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2010-12-08 ~ 2013-02-28 |
| Jeffrey Kleis Dpm | 201 Ann St Ste# 203, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 1997-03-19 ~ 1998-02-28 |
| Jeffrey W Moy | 8 Woodhill Rd, Milford, CT 06461-2368 | Controlled Substance Registration for Practitioner | 2013-09-27 ~ |
| Jeffrey A Carruth Md | Po Box 264, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-10 ~ 2021-02-28 |
| Jeffrey M Kay | 38 Bonwit Rd, Riverside, CT 06878-1215 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey Dempski Do | Po Box 283, Wiscasset, ME 04578-0283 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey N Masi | New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2011-06-13 ~ 2013-02-28 |
| Jeffrey T Alwine | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2013-04-10 ~ 2015-02-28 |
| Jeffrey R Uhl Dds | 75 Limerick Rd, Trumbull, CT 06611-1828 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Please comment or provide details below to improve the information on JEFFREY SPANG 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).