EDWARD THAM MD (Credential# 504439) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 20, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
EDWARD THAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043596. The credential type is controlled substance registration for practitioner. The effective date is March 20, 2009. The expiration date is February 28, 2011. The business address is 51 Schuyler Ave Apt 5c, Stamford, CT 06902-3744. The current status is inactive.
| Licensee Name | EDWARD THAM MD |
| Credential ID | 504439 |
| Credential Number | CSP.0043596 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
51 Schuyler Ave Apt 5c Stamford CT 06902-3744 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-05-30 |
| Effective Date | 2009-03-20 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564100 | 1.046518 | Physician/Surgeon | 2008-05-12 | 2009-01-14 - 2009-12-31 | INACTIVE |
| Street Address | 51 SCHUYLER AVE APT 5C |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3744 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chailin Barroso | 51 Schuyler Ave Apt 5c, Stamford, CT 06902-3744 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Juan A Castro | 51 Schuyler Ave Apt 5c, Stamford, CT 06902-3744 | Fire Protection Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward L Osborn | Po Box 245, Torrington, CT 06790-0245 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward F Fox Md | 111 Oakridge Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Edward T Sze | 152 Temple St Apt 513, New Haven, CT 06510-2613 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Edward W Akeyson Md | Po Box 189, Durham, CT 06422-0189 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Edward Jk Lee | 291 Queen St, Bristol, CT 06010-6379 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward H Kim | 2 Sparrow La, Unionville, CT 06085 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Edward J Collins Jr | 150 Mansfield Ave, Willimantic, CT 06226 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Edward W Hughes | 139 Hazard Ave, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Edward A Zane Md | 41 Devol Ave, Westport, MA 02790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward Lim Md | 249 West Main St, Ste 14, Branford, CT 06405-4048 | 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).