KIMBERLY HENDERSON (Credential# 1024634) 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.
KIMBERLY HENDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050913. 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 263 Farmington Ave # Mc2947, Farmington, CT 06030-0002. The current status is inactive.
| Licensee Name | KIMBERLY HENDERSON |
| Credential ID | 1024634 |
| Credential Number | CSP.0050913 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
263 Farmington Ave # Mc2947 Farmington CT 06030-0002 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2011-08-12 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly Henderson | 979 Schenck Ave, Brooklyn, NY 11207-9108 | Engineer-in-training | ~ |
| Kimberly Henderson · Sig's Water Street Cafe | 4 Water St, Chester, CT 06412 | Restaurant Liquor | 2008-02-27 ~ 2008-07-20 |
| Street Address | 263 FARMINGTON AVE # MC2947 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy E Grove | 263 Farmington Ave # Mc2947, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-25 ~ 2015-02-28 |
| Erin E Ashton | 263 Farmington Ave # Mc2947, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jamie Januszyk | 263 Farmington Ave # Mc2947, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-21 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annabelle Rae B Chua | 263 Farmington Ave # Mc-1234, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole Goulet | 263 Farmington Ave # Mc-3955, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Robert Stewart | 263 Farmington Ave # Mc1234, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-11 ~ 2015-02-28 |
| Mohamed Swedeh | 263 Farmington Ave # Mc1321, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Veronica L Tucker | 263 Farmington Ave # Mc1930, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Dhruva Chawla | 263 Farmington Ave # Mc-1235, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-04-03 ~ 2015-02-28 |
| Rahul Patel | 263 Farmington Ave # Mc-1930, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
| Algenon Parson | 263 Farmington Ave # Mc-2015, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
| Cory Edgar | 263 Farmington Ave # Mc-4037, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Richard Shamo | 263 Farmington Ave # Mc-1720, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in zip 06030-0002 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee W Henderson Md | Po Box 37, South Kent, CT 06785 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Hilliard Spitz Md | 17 Henderson Rd, New London, CT 06320 | Controlled Substance Registration for Practitioner | 1993-01-06 ~ 1995-02-01 |
| Brooke F Henderson Pa-c | 24 Ash Dr, Gales Ferry, CT 06335-1702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wenting Hou Aprn | 20 Henderson Dr., Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2011-05-05 ~ 2013-02-28 |
| Nikole J Henderson Pa-c | 38 Gallup Ln, Waterford, CT 06385-2242 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sharon Henderson Od | Lenscrafters, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pamela R Henderson | 299 Carew St Ste 400, Springfield, MA 01104-2361 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca Gagne Henderson | 360 W Rock Ave, New Haven, CT 06515-2106 | Controlled Substance Registration for Practitioner | 2020-05-14 ~ 2021-02-28 |
| Theresa Chong Od | 30 Strada Bi Villaggio, Henderson, NV 89011 | Controlled Substance Registration for Practitioner | 2009-07-15 ~ 2011-02-28 |
| Maryellen C Silva Aprn | 141 Henderson Rd, Fairfield, CT 06824-4940 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KIMBERLY HENDERSON.
| 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).