NICOLE S ANDERSON (Credential# 1186333) 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.
NICOLE S ANDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056171. 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 29 Green Valley Lake Rd, East Lyme, CT 06333. The current status is active.
| Licensee Name | NICOLE S ANDERSON |
| Credential ID | 1186333 |
| Credential Number | CSP.0056171 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
29 Green Valley Lake Rd East Lyme CT 06333 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-09-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1174490 | 1.052423 | Physician/Surgeon | 2013-09-18 | 2019-10-01 - 2020-09-30 | ACTIVE |
| 446215 | CSP.0039866 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-19 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 29 Green Valley Lake Rd |
| City | East Lyme |
| State | CT |
| Zip Code | 06333 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brittany Pearson | 6201 Maple Tree Lane, East Lyme, CT 06333 | Behavior Analyst | ~ |
| Aura M Serdici | 7 Ferro Dr, East Lyme, CT 06333 | Esthetician | ~ |
| Lawrence J Darling Jr · Darling Carpentry | 61 Mostowy Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2020-06-19 ~ 2020-11-30 |
| Sandeep B Varma | 30 Plum Hill Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Peter J Famiglietti Md | 339 Flanders Road, East Lyme, CT 06333 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Beth A Stoddard | 8 Greentree Drive, East Lyme, CT 06333 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott's Yankee Farmer | 291 N Bride Brook Rd, East Lyme, CT 06333 | Apple Juice & Cider Manufacturer | 2020-07-01 ~ 2021-06-30 |
| Katherine E Whalen | 339 Flanders Rd Ste 109, East Lyme, CT 06333 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| May L Diep | 88 Arbor Crossing, East Lyme, CT 06333 | Nail Technician | ~ |
| Cash True Value | 300 Flanders Rd, East Lyme, CT 06333 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06333 | |||
| City | East Lyme |
| Zip Code | 06333 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + East Lyme |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jay Anderson | 80 Shunpike Rd, Cromwell, MN 06416 | Controlled Substance Registration for Practitioner | 2019-03-25 ~ 2021-02-28 |
| Amy L Anderson | 607 E Main St, Meriden, CT 06450-6066 | Controlled Substance Registration for Practitioner | 2019-04-24 ~ 2021-02-28 |
| Nicole P Roy | 140 Ziegler Rd, Hampton, CT 06247-2022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alyssa L Anderson | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Sharon J Anderson Md | 374 Grand Ave, New Haven, CT 06513-3733 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Feiya Li | 1426 Anderson Ave Fl 2, Fort Lee, NJ 07024-4409 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Sandra Anderson | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen A Stein Md | 1 Anderson Ave, Milford, CT 06460-8234 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Julia Anderson | 21 South Rd Fl 2, Farmington, CT 06032-2410 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Frederic P Anderson Md | 40 Front St, Groton, CT 06340-5718 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on NICOLE S ANDERSON.
| 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).