DAVID J MULLEN MD (Credential# 548056) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DAVID J MULLEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029847. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 49 Lake Ave, Greenwich, CT 06830. The current status is active.
Licensee Name | DAVID J MULLEN MD |
Credential ID | 548056 |
Credential Number | 1.029847 |
Credential Type | Physician/Surgeon |
Business Address |
49 Lake Ave Greenwich CT 06830 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1989-04-07 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-02-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
159112 | CSP.0017165 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 49 LAKE AVE |
City | GREENWICH |
State | CT |
Zip Code | 06830 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sharon K Gavin | 49 Lake Ave, Greenwich, CT 06830 | Audiologist | 2020-07-01 ~ 2021-06-30 |
Vito Federici | 49 Lake Ave, Greenwich, CT 06830 | Dentist | 2020-06-01 ~ 2021-05-31 |
Catherine M. Alonzo | 49 Lake Ave, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Richard J Brauer | 49 Lake Ave, Greenwich, CT 06830 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kapil R. Desai Md | 49 Lake Ave, Greenwich, CT 06830-4501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nazanine Khairkhah Md | 49 Lake Ave, Greenwich, CT 06830-4501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lynne M Haven Md | 49 Lake Ave, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sunil Rana | 49 Lake Ave, Greenwich, CT 06830-4501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michelle S Marrinan | 49 Lake Ave, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lisa J Mao | 49 Lake Ave, Greenwich, CT 06830-4501 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Find all Licenses in zip 06830 |
City | GREENWICH |
Zip Code | 06830 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + GREENWICH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jewel M Mullen | 7 Reeds Gap Rd, Middlefield, CT 06455-1138 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
John A Mullen | 950 Mt Carmel Ave, Hamden, CT 06518 | Physician/surgeon | 2001-06-20 ~ 2002-06-30 |
Michele Pescasio | 4014 W Mullen Ave, Tampa, FL 33609-4429 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Katherine Mullen | 124 Turkey Hill Rd, Northampton, MA 01062 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
John M Flanzer | 17 Mullen Hill Rd, Windham Center, CT 06280 | Physician/surgeon | 1999-05-27 ~ 2000-07-31 |
Marlene M Mullen Clayton | 85161 Sagaponack Dr, Fernandina Beach, FL 32034-8730 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
John E Mullen | New Milford Orthopedic Assoc., New Milford, CT 06776 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Richard Mullen · Mullen Construction | 814 Howe Ave, Shelton, CT 06484 | Home Improvement Contractor | ~ 1995-01-01 |
David Mullen Dpm | 51 Depot St, Watertown, CT 06795 | Podiatrist | 2020-07-01 ~ 2021-06-30 |
Mullen Hill Road | 171 Mullen Hill Rd, Windham, CT 06280-1400 | Community Living Arrangement | 2019-05-15 ~ 2020-05-31 |
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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).