ISMAEL MARTIN DO (Credential# 559046) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 16, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
ISMAEL MARTIN DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041463. The credential type is physician/surgeon. The effective date is February 16, 2006. The expiration date is February 28, 2007. The business address is 135 Dove Lane, Middletown, CT 06457. The current status is inactive.
Licensee Name | ISMAEL MARTIN DO |
Credential ID | 559046 |
Credential Number | 1.041463 |
Credential Type | Physician/Surgeon |
Business Address |
135 Dove Lane Middletown CT 06457 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2003-05-14 |
Effective Date | 2006-02-16 |
Expiration Date | 2007-02-28 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
341632 | CSP.0033619 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE |
Street Address | 135 DOVE LANE |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457 |
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 | Physician/Surgeon |
License Type + County | Physician/Surgeon + MIDDLETOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ismael Aguilo-rodriguez | 109 Justin Blvd, Webb City, MO 64870 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
Martin Bauermeister | 17 Bay St, Wickford, RI 02852 | Physician/surgeon | 2000-02-15 ~ 2000-11-30 |
David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Martin B. Leon | 1 Spector Rd, Woodbridge, CT 06525-1730 | Physician/surgeon | 1977-05-19 ~ 1982-05-31 |
Martin Maimon | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Martin E Bur | 24 Warner Street, Belchertown, MA 01007 | Physician/surgeon | ~ |
Martin J Krauthamer | 8 Mcmahon Ln, Westport, CT 06880-1039 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Martin I Hall | 752 Hill St, Bristol, CT 06010 | Physician/surgeon | 1993-12-07 ~ 1994-12-31 |
Martin J O'hara | 100 Haven Ave Apt 12c, New York, NY 10032-2624 | Physician/surgeon | 1991-08-09 ~ 1992-09-30 |
Charles E Martin Jr | 425 Old Morris Rd, Harleysville, PA 19438 | Physician/surgeon | 1997-12-15 ~ 1998-12-31 |
Please comment or provide details below to improve the information on ISMAEL MARTIN DO.
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).