MARLON CASTILLO MD (Credential# 943626) 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.
MARLON CASTILLO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047991. 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 31 Strawberry Hill Ave Entrance B, Stamford, CT 06902-2681. The current status is inactive.
| Licensee Name | MARLON CASTILLO MD |
| Credential ID | 943626 |
| Credential Number | CSP.0047991 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
31 Strawberry Hill Ave Entrance B Stamford CT 06902-2681 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - SURRENDERED |
| Issue Date | 2010-07-19 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2016-03-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 917234 | 1.048672 | Physician/Surgeon | 2010-04-16 | 2015-09-01 - 2016-02-29 | INACTIVE |
| 1003799 | CSP.0050528 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | PENDING |
| Street Address | 31 STRAWBERRY HILL AVE ENTRANCE B |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-2681 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marlon S Rosenbaum | 161 Fort Washington Ave, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronald M Castillo | 471 Wolcott Ln, Orange, CT 06477-2144 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jairo E Castillo M.d. | 227 Meadows End Rd, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rita S Castillo Md | 69 Puritan Lane, Stamford, CT 06906 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Judith M Castillo Md | 112 Quarry Road, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Herbert B Castillo Valladares | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-08-13 ~ 2021-02-28 |
| Rochelle L Castillo | 6317 Park Heights Ave, Baltimore, MD 21215-2937 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eddy A Castillo Md | 2660 Main St Suite 203, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ylec Mariana Cardenas Castillo | 7 Acadia Ln Unit 4201, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-12-17 ~ 2021-02-28 |
| Jose A Pichardo Castillo | 2800 Main St Level 3 Dept of Medicine, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).