LINDA L FAN (Credential# 1129454) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LINDA L FAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053925. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 14 Horseshoe Rd, Guilford, CT 06437-2918. The current status is active.
| Licensee Name | LINDA L FAN |
| Credential ID | 1129454 |
| Credential Number | CSP.0053925 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
14 Horseshoe Rd Guilford CT 06437-2918 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-10-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1115771 | 1.051310 | Physician/Surgeon | 2012-08-16 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 14 HORSESHOE RD |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-2918 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J Boyle IIi | 28 Horseshoe Rd, Guilford, CT 06437-2918 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Roderic M Cross IIi | 64 Horseshoe Rd, Guilford, CT 06437-2918 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Christy M Stoddard · Christy Markham | 68 Horseshoe Rd, Guilford, CT 06437-2918 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jessica A Stein | 20 Horseshoe Rd, Guilford, CT 06437-2918 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Jorge M Rivera | 92 Horseshoe Rd, Guilford, CT 06437-2918 | Controlled Substance Registration for Practitioner | 2019-06-11 ~ 2021-02-28 |
| Douglas J Magee | 6 Horseshoe Rd, Guilford, CT 06437-2918 | Emergency Medical Technician | 2018-04-30 ~ 2021-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | GUILFORD |
| Zip Code | 06437 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GUILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda C La | 157 Church St., New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda H Schroth Md | 415 Killingworth Rd, Higganum, CT 06441 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Linda Angotto | 1 1/2 Highview Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Linda Thomson Aprn | 115 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Linda J Oeser | 150 Kent Ave, Suffield, CT 06078 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda D Arnold Md | 100 York St, New Haven, CT 06511-5649 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda L Maerz | 123 Woodlawn St, Hamden, CT 06517-1341 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda L Meyer | 320 Lakeview Ave, Waterbury, CT 06705-2145 | Controlled Substance Registration for Practitioner | 2019-03-18 ~ 2021-02-28 |
| Linda D Gillam Md | 55 Old Farm Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Linda L Huh | 202 Leeder Hill Dr # 157, Hamden, CT 06517-2700 | Controlled Substance Registration for Practitioner | 2012-12-17 ~ 2015-02-28 |
Please comment or provide details below to improve the information on LINDA L FAN.
| 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).