DORIAN K MADRID PA (Credential# 515997) 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.
DORIAN K MADRID PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044694. 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 4333 Town Brooke, Middletown, CT 06457-6613. The current status is inactive.
| Licensee Name | DORIAN K MADRID PA |
| Credential ID | 515997 |
| Credential Number | CSP.0044694 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
4333 Town Brooke Middletown CT 06457-6613 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-10-16 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743910 | 23.002161 | Physician Assistant | 2008-09-12 | 2011-03-01 - 2012-02-29 | INACTIVE |
| Street Address | 4333 TOWN BROOKE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-6613 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin R Paul | 4334 Town Brooke # E012, Middletown, CT 06457-6613 | Physical Therapist | 2014-03-01 ~ 2015-02-28 |
| Jessica L Domis | 4334 Town Brooke, Middletown, CT 06457-6613 | Physical Therapist | 2014-01-02 ~ 2015-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dorian V Blanks | 7 Fox Hill Ln, Enfield, CT 06082-3816 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Rachel A Madrid | 354 Tunnel Rd, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2017-05-12 ~ 2019-02-28 |
| Stephanie S Fisher | 973 Buck Rd, Madrid, NY 13660-3144 | Controlled Substance Registration for Practitioner | 2014-06-24 ~ 2015-02-28 |
| Annette Madrid Md | Po Box 1446, El Granada, CA 94018 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Alta Marca Madrid Vino De Madrid Temp | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2009-08-26 ~ 2012-07-03 |
| Madrid Corp (the) | 40 West St, Vernon, CT 06066 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Dorian Development LLC | 3 Fraser Road, Westport, CT 06880 | New Home Construction Contractor | 2003-12-19 ~ 2005-09-30 |
| Anthony V. Madrid | 16 Donna Drive, Unit #22, Norwalk, CT 06854 | Certified Public Accountant Firm Permit | 1996-01-17 ~ 1996-12-31 |
| The Madrid Corp | 40 West St Ste 10, Vernon, CT 06066-3046 | New Home Construction Contractor | 2015-10-01 ~ 2017-09-30 |
| Flaco Tempranillo Madrid | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-12-23 ~ 2022-10-16 |
Please comment or provide details below to improve the information on DORIAN K MADRID PA.
| 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).