TREVOR J BLEDSOE (Credential# 1171263) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
TREVOR J BLEDSOE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055172. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 50 Quentin St, Hamden, CT 06517-2323. The current status is lapsed.
Licensee Name | TREVOR J BLEDSOE |
Credential ID | 1171263 |
Credential Number | CSP.0055172 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
50 Quentin St Hamden CT 06517-2323 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2013-07-01 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1304233 | CSP.0061263 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-08-10 | 2017-03-01 - 2019-02-28 | LAPSED |
1298850 | 1.054508 | Physician/Surgeon | 2015-08-07 | 2017-07-01 - 2018-06-30 | INACTIVE |
1491526 | 1.059261-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2018-06-30 | INACTIVE |
Street Address | 50 QUENTIN ST |
City | HAMDEN |
State | CT |
Zip Code | 06517-2323 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Leonard E Margolis | 50 Quentin St, Hamden, CT 06517 | Community Association Manager | 2009-02-01 ~ 2010-01-31 |
Kaila C Margolis | 50 Quentin St, Hamden, CT 06517 | Licensed Practical Nurse | 2001-05-29 ~ 2002-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian M Padilla | 50 Quentin St., Hamden, CT 06517-2323 | Psychologist | 2019-09-01 ~ 2020-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06517 |
City | HAMDEN |
Zip Code | 06517 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joanna Hope Bledsoe | 16 Forest Glen Circle Apartment 7, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-07-08 ~ 2021-02-28 |
Trevor F Goodman | 7 Maytime Dr, Jericho, NY 11753-2231 | Controlled Substance Registration for Practitioner | 2014-07-30 ~ 2015-02-28 |
Trevor J. Bell | 99 Woodland St, Hartford, CT 06105-1207 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Trevor Tejada-berges Md | 101 Dudley St, Providence, RI 02905 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Trevor Richard Miller | 10 Waterside Plz Apt 30e, New York, NY 10010-2608 | Controlled Substance Registration for Practitioner | 2020-06-03 ~ 2021-02-28 |
Trevor James Doherty | 60 Stillson Rd, Fairfield, CT 06825-3212 | Controlled Substance Registration for Practitioner | 2019-06-07 ~ 2021-02-28 |
Huma Khan | 9 Trevor Court, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-04-25 ~ 2021-02-28 |
Trevor S Sutton | 41 Soby Drive, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Trevor Rishawn Marquis York | 1971 Western Ave # 101, Albany, NY 12203-5066 | Controlled Substance Registration for Practitioner | 2019-10-23 ~ 2021-02-28 |
Trevor Bruce Parker | 1298 Hartford Tpke Apt 7f, North Haven, CT 06473-2188 | 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).