BRIAN M FRY (Credential# 116847) 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.
BRIAN M FRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0027526. 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 43 Wisteria Ln, Suffield, CT 06078-2381. The current status is active.
Licensee Name | BRIAN M FRY |
Credential ID | 116847 |
Credential Number | CSP.0027526 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
43 Wisteria Ln Suffield CT 06078-2381 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-05 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-31 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
742518 | 23.000769 | Physician Assistant | 1998-09-11 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 43 WISTERIA LN |
City | SUFFIELD |
State | CT |
Zip Code | 06078-2381 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cheryl L Fry | 43 Wisteria Ln, Suffield, CT 06078-2381 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Your Choice Vending | 33 Wisteria Ln, Suffield, CT 06078-2381 | Vending Machine Operator | 2020-07-01 ~ 2021-06-30 |
Elizabeth A Honey | 37 Wisteria Ln, Suffield, CT 06078-2381 | Marital and Family Therapist | 2020-08-01 ~ 2021-07-31 |
Enilda T Sliski | 13 Wisteria Ln, Suffield, CT 06078-2381 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jessica A Macwilliams Pa | 35 Wisteria Ln, Suffield, CT 06078-2381 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Susan H Davis | 42 Wisteria Ln, Suffield, CT 06078-2381 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
Kristen E Cooke | 44 Wisteria Ln, Suffield, CT 06078-2381 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
Jeffrey W Davis | 8 Wisteria Ln, Suffield, CT 06078-2381 | Professional Engineer & Land Surveyor | 2020-02-01 ~ 2021-01-31 |
Home Security Solutions LLC | 18 Wisteria Lane, Suffield, CT 06078-2381 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
James L Barrett | 36 Wisteria Ln, Suffield, CT 06078-2381 | Family Child Care Substitute | ~ |
D & D Remodeling LLC | 35 Wisteria Ln, Suffield, CT 06078-2381 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Find all Licenses in zip 06078-2381 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jun Jiang | 46 Cedar Crest Ln., Suffield, CT 06078 | Perfusionist | 2020-07-01 ~ 2021-06-30 |
Lynne M Vallides | 600 Thompsonville Road, Suffield, CT 06078 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Francesco M Antelmi | 41 Diane Lane, Suffield, CT 06078 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Young Ran Won | 875 Overhill Dr., Suffield, CT 06078 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Burl R Sindler | 58 Austin Street, Suffield, CT 06078 | Hearing Instrument Specialist | 2020-08-01 ~ 2022-07-31 |
Nasser M Saleh | 1257 South Street, Suffield, CT 06078 | Real Estate Salesperson | ~ |
Praxair Inc | Ucar Street, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Babylon LLC | 1221 Harvey Ln, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Suffield Hardware | 63 Mountain Rd, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Donald R Ledoux | 675 East St. North, Suffield, CT 06078 | Chiropractor | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06078 |
City | SUFFIELD |
Zip Code | 06078 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SUFFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian R Pulford | 21 Brian Road, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Brian T Fletcher Md | 497 3rd Ave Apt 9, New York, NY 10016-4854 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Brian L Karasic | Po Box 819, Eatontown, NJ 07724-0819 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Brian W Yue Md | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Brian C Lau | 542 George St, New Haven, CT 06511-5302 | Controlled Substance Registration for Practitioner | 2012-07-11 ~ 2013-02-28 |
Brian T Kucer Md | Po Box 400, Wallingford, CT 06492-7048 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Brian Moy | 24 Park Pl Apt 8h, Hartford, CT 06106-5010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Brian J Solomon | 21 May Ct, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Brian J Wooley | 301 Spruce St, Southport, CT 06890-1402 | Controlled Substance Registration for Practitioner | 2019-04-18 ~ 2021-02-28 |
Brian M Pellini Md | 875 New Britain Ave, Farmington, CT 06032-2148 | Controlled Substance Registration for Practitioner | 2011-06-06 ~ 2013-02-28 |
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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).