MICAL S CAMPBELL (Credential# 451849) 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.
MICAL S CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040709. 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 234-a Bank Street, New London, CT 06320. The current status is active.
Licensee Name | MICAL S CAMPBELL |
Credential ID | 451849 |
Credential Number | CSP.0040709 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
234-a Bank Street New London CT 06320 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2006-11-17 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
562485 | 1.044903 | Physician/Surgeon | 2006-11-09 | 2019-11-01 - 2020-10-31 | ACTIVE |
Street Address | 234-A BANK STREET |
City | NEW LONDON |
State | CT |
Zip Code | 06320 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06320 |
City | NEW LONDON |
Zip Code | 06320 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mical O Raz | 4300 Spruce St Apt A100, Philadelphia, PA 19104-4759 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Ryan R Campbell | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Daniel D Kim Dds | 666 Campbell Ave Ste 1, West Haven, CT 06516-3775 | Controlled Substance Registration for Practitioner | 2017-05-03 ~ 2019-02-28 |
Kathleen A Campbell | 68 Woods End Rd, New Canaan, CT 06840-4030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicholas R Campbell | 181 Porter Rd, Hebron, CT 06248-1224 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Keith E Campbell | 415 Killingworth Rd, Higganum, CT 06441 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Susan E Campbell | 80 Perkins St, Springfield, MA 01118-2044 | Controlled Substance Registration for Practitioner | 2019-10-10 ~ 2021-02-28 |
Bryce D Campbell | 314 Humphrey St, New Haven, CT 06511-3935 | Controlled Substance Registration for Practitioner | 2015-08-20 ~ 2017-02-28 |
David I Campbell Md | 22 Apple Way, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Campbell F Bryson | 109 Church St, New Haven, CT 06510-3016 | 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).