MARTIN G EDWARDS MD (Credential# 554170) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
MARTIN G EDWARDS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036579. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 499 Farmington Avenue, Farmington, CT 06032. The current status is active.
| Licensee Name | MARTIN G EDWARDS MD |
| Credential ID | 554170 |
| Credential Number | 1.036579 |
| Credential Type | Physician/Surgeon |
| Business Address |
499 Farmington Avenue Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-01-09 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 192869 | CSP.0026583 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 499 FARMINGTON AVENUE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jill M Peters-gee | 499 Farmington Avenue, Farmington, CT 06032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael P Gingold | 499 Farmington Avenue, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brook M Seeley | 499 Farmington Avenue, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy K Chartier Md | 499 Farmington Avenue, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith Edwards | 140 Hospital Dr, Bennington, VT 05201 | Physician/surgeon | 1992-07-23 ~ 1993-06-30 |
| Drew J Edwards | 115 Waterbury Rd, Prospect, CT 06712-1254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Keith B Quencer | 198 Edwards St Apt 4, New Haven, CT 06511-3702 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Sharon Paull Md | 471 Rawhide Rd, Edwards, CO 81632-0854 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Hadar Lubin | 19 Edwards St, New Haven, CT 06511 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gwendolyn Grant Md | 197 Edwards St, New Haven, CT 06511 | Physician/surgeon | 2006-01-10 ~ 2006-12-31 |
| Beatrice J. Edwards | 2400 Old Glenview Rd, Wilmette, IL 60091-3116 | Physician/surgeon | ~ |
| James L Scott | 251 Edwards St, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brigid K. Killelea | 350 Edwards Street, Fairfield, CT 06824-6923 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Allison Edwards | 4303 Taunton Dr, Beltsville, MD 20705-2861 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
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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).