Connecticut License


Jurisdiction: Connecticut
Source: Connecticut Department of Consumer Protection

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER · PORTLAND · Search Result

Licensee Name Office Address Credential Effective / Expiration
Patrick T Kehl 110 Great Hill Pond Rd, Portland, CT 06480-1315 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Tasha Duval 42 Marlborough Rd, Portland, ME 04103-4340 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Simon M Trutt 3145 Northeast 16th Avenue, Portland, OR 97212 Controlled Substance Registration for Practitioner 2019-12-09 ~ 2021-02-28
Kelly N Washburn 2639 N Watts St, Portland, OR 97217-6369 Controlled Substance Registration for Practitioner 2019-04-09 ~ 2021-02-28
Michael J Brothers Dvm 117 Appletree Ln, Portland, CT 06480-4001 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Christine Gustavson 455 Portland Cobalt Rd, Portland, CT 06480-1910 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Sarah C Orlando 6 Woodhaven Dr, Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Alyssa Mary Kalberer 87 Bartlett Street, Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Meredith Anne Niess 2416 Se 34th Ave Unit A, Portland, OR 97214-5760 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jennifer A Freeman 36 Apple Tree Lane, Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Elsamma Chacko Md 36 Ridgeview Road, Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Thomas J Terenzi Do 215 Paley Farms Rd, Portland, CT 06480-1081 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Wendy M Griswold Aprn 270 Main Street, Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Amy L Wisniewski 222 Cox Rd, Portland, CT 06480-1327 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Nancy Maria Yip 25 Hilltop Dr, Portland, CT 06480-1534 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
David A Fraulino 140 Rose Hill Rd, Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Bridget B Kelly 95 Culver Ln, Portland, CT 06480-1324 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Justin D Caskey 270 Main St., Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mary L Pergiovanni 5 Holstein Lane, Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Meera M Kanakia 2812 Nw Ariel Ter, Portland, OR 97210-3148 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Virginia N Olson 29 Stephen Tom Rd, Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Peter Gletzakos Dmd 595 Main Street, Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Suher Baker Dmd 0677 Sw Lowell St Apt 364, Portland, OR 97239-4426 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Mary Jepson 3826 Ne 10th Ave, Portland, OR 97212-1219 Controlled Substance Registration for Practitioner 2013-08-28 ~ 2015-02-28
David J Liss 544 Nw Marlborough Avenue, Portland, OR 97210 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Adrienne L Riotte Pa 7 Spruce Ter, Portland, CT 06480-1529 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Markos D Emmanouel Md 98 Grant St Apt 1, Portland, ME 04101-2164 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Erin J Anderson Od 1502 Se Glenwood St., Portland, OR 97202 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Richard H Bensimon Md 1310 Nw Naito Parkway, Portland, OR 97209-2643 Controlled Substance Registration for Practitioner 2011-03-08 ~ 2013-02-28
Targol Saedi 3181 Sw Sam Jackson Park Road, Portland, OR 97239 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
John P Griffin 195 Fore River Parkway, Portland, ME 04102 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Cynthia P Horak Md 766 Nw 118th Ave Apt 103, Portland, OR 97229-5961 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Joseph Epstein Po Box 227 Cox Rd, Portland, CT 06480 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Blueridge Health Services Inc · Mary Inguanti 25 Marlborough St, Portland, CT 06480 Controlled Substance Registration for Practitioner 2003-03-01 ~ 2004-02-28
Barry Russman Md 2659 Sw Vista Ave, Portland, OR 97201 Controlled Substance Registration for Practitioner 1998-03-01 ~ 1999-02-28
Kathryn J Hollett 14 Waverly Ave, Portland, CT 06480 Controlled Substance Registration for Practitioner 1994-02-01 ~ 1995-10-01
Peter E Spalding Md Penfield Hill Rd, Portland, CT 06480 Controlled Substance Registration for Practitioner 1993-01-07 ~ 1995-02-01
Dana M Cantiello 148 Old Marlborough Tpke, Portland, CT 06480-1012 Controlled Substance Registration for Practitioner 2019-08-22 ~ 2021-02-28
Keith Rosenberg 111 West St, Portland, ME 04102-3416 Controlled Substance Registration for Practitioner 2019-06-20 ~ 2021-02-28
Jonathan Gustavson 455 Portland Cobalt Rd, Portland, CT 06480-1910 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
George B Keech Jr 1 Prospect St, Portland, CT 06480-1105 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Prakash V Huded 78 Marlborough St, Portland, CT 06480-4801 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Amita Aggarwal Dmd 322 Main St, Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Louis R Neumann Od Po Box 527, Portland, CT 06480-0527 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Penny D Chiasson Aprn 11 Waverly Ave, Portland, CT 06480 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
George M Rosenfeld 87 Bartlett St, Portland, CT 06480-1607 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Leonard M Lisien 595 Main St, Portland, CT 06480 Controlled Substance Registration for Practitioner 1999-03-01 ~ 2000-02-28
Elmcrest Psychiatric Institute 25 Marlborough St, Portland, CT 06480 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28
Gerald F Burke Md 276 Main Street, Portland, CT 06480 Controlled Substance Registration for Practitioner 1994-06-20 ~ 1996-07-01
Joseph Aferzon 595 Main St., Portland, CT 06480 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28