DEVAN N LAX DPM (Credential# 885957) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
DEVAN N LAX DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045994. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 210 S Main St, Middletown, CT 06457-3764. The current status is inactive.
| Licensee Name | DEVAN N LAX DPM |
| Credential ID | 885957 |
| Credential Number | CSP.0045994 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
210 S Main St Middletown CT 06457-3764 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-07-22 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 699289 | 19.000852 | Podiatrist | 2009-07-01 | 2015-08-01 - 2016-07-31 | INACTIVE |
| Street Address | 210 S MAIN ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3764 |
| 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 |
|---|---|---|---|
| Devan L Kansagara Md | 13 Fairway Dr, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Devan T. Weidle Pa-c | 40 Prospect Ave, Norwalk, CT 06850-3737 | Controlled Substance Registration for Practitioner | 2011-01-14 ~ 2013-02-28 |
| Devan D. Bhagat | 157 Demarest Avenue, Closter, NJ 07624-1741 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Devan News and Variety | 2385 Main St Ste 2, Stratford, CT 06615-5955 | Lottery Sales Agent | 2014-04-01 ~ 2015-03-31 |
| Sandra T Markus · Devan | 57 Kings Hwy, Shelton, CT 06484 | Respiratory Care Practitioner | 2019-08-01 ~ 2020-07-31 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Paul Devan IIi Building Services LLC | 37 Maple St, Litchfield, CT 06759-3101 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on DEVAN N LAX DPM.
| 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).