SPENCER K MARTIN MD (Credential# 559112) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
SPENCER K MARTIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041529. The credential type is physician/surgeon. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is Po Box 2473, Darien, CT 06820. The current status is active.
| Licensee Name | SPENCER K MARTIN MD |
| Credential ID | 559112 |
| Credential Number | 1.041529 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 2473 Darien CT 06820 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-06-02 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-06-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 416437 | CSP.0038330 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-09-19 | 2013-03-20 - 2015-02-28 | INACTIVE |
| Street Address | PO Box 2473 |
| City | Darien |
| State | CT |
| Zip Code | 06820 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisbeth Alexandra Gutierrez | 13 Casper Street, Danbury, CT 06820 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Sonia L Morales | Po Box 2351, Darien, CT 06820 | Master's Level Social Worker | ~ |
| Belle Stobbie | 1 Salt Box Lane, Darien, CT 06820 | Registered Nurse | 2020-06-26 ~ 2021-02-28 |
| Jessica Stygares | 110 Hecker Avenue, Darien, CT 06820 | Speech and Language Pathologist | ~ |
| John M Neary | 31 Hoyt St, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kevin D Gray | 5 Old Stone Rd, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lindsay G Westbrook | 11 Oakshade Ave, Darien, CT 06820 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Darien Two Inc | 967 Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Darien Seafood Mkt Inc · Frate & Burt Seafood | 1941 Post Rd, Darien, CT 06820 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Bertucci's | 54 Boston Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06820 | |||
| City | Darien |
| Zip Code | 06820 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Darien |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Spencer H Mccleave | 925 N 3rd Ave, Tucson, AZ 85705 | Physician/surgeon | 2015-07-01 ~ 2016-06-30 |
| Spencer Holover | 125 Mineola Ave Ste 200, Roslyn Heights, NY 11577-2042 | Physician/surgeon | ~ |
| James C Spencer Jr | 774 Reef Rd, Fairfield, CT 06824-6540 | Physician/surgeon | 2014-03-01 ~ 2015-02-28 |
| Christopher B Spencer Md | 66 Gould Ave, Fairfield, CT 06824-5830 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David Leitenberg | 154 Spencer Ave, Guilford, CT 06437 | Physician/surgeon | 2000-09-21 ~ 2001-09-30 |
| George M Spencer | 5 Dovercrest Ct, Greensboro, NC 27407-8314 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Spencer S Richlin Md | 761 Main Ave Ste 200, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael C Dubik | 112 Spencer St, Manchester, CT 06040-4601 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Leonard A Schonberg | 52 Spencer St, Winsted, CT 06098 | Physician/surgeon | 1995-04-24 ~ 1996-04-30 |
| Micky R Riggs Md | 88 Spencer Ave, Guilford, CT 06437-3366 | Physician/surgeon | 2000-06-28 ~ 2001-06-30 |
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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).