ANDREW C DAVIDSON (Credential# 1201801) 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.
ANDREW C DAVIDSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056589. 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 15 Berwyn Rd, West Hartford, CT 06107. The current status is active.
| Licensee Name | ANDREW C DAVIDSON |
| Credential ID | 1201801 |
| Credential Number | CSP.0056589 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
15 Berwyn Rd West Hartford CT 06107 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-01-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1188324 | 1.052639 | Physician/Surgeon | 2013-12-24 | 2019-07-01 - 2020-06-30 | ACTIVE |
| 842340 | 70.002607 | Emergency Medical Technician | 2002-07-10 | 2004-03-18 - 2006-03-31 | INACTIVE |
| Street Address | 15 Berwyn Rd |
| City | West Hartford |
| State | CT |
| Zip Code | 06107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | West Hartford |
| Zip Code | 06107 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David J Hunyady Od | 124 Davidson Rd, Colchester, CT 06415-1602 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Lorelei Davidson | 1 Padanaram Rd Ste 12, Danbury, CT 06811-4820 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elaine D Gayeski Aprn | 128 Davidson Rd, Colchester, CT 06415-1602 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane M Davidson Md | 163 Regatta Drive, Jupiter, FL 33477 | Controlled Substance Registration for Practitioner | 2017-03-28 ~ 2019-02-28 |
| Brooke L Davidson Do | 10 Lillinonah Ridge Dr, New Milford, CT 06776-4683 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kimberley Howell | 2619 Davidson Ave, Bronx, NY 10468 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Alan C Davidson Md | 15 Edgehill Drive, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| David A Davidson | 2726 Curved Creek Rd, Quincy, IL 62301 | Controlled Substance Registration for Practitioner | 1994-08-23 ~ 1996-06-01 |
| Andrew Kornstein Md PC | 539 Danbury Rd, Wilton, CT 06897-2216 | Controlled Substance Registration for Practitioner | 2015-11-12 ~ 2017-02-28 |
| Richard L Yap Md | 151 Andrew Ave Apt 85, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
Please comment or provide details below to improve the information on ANDREW C DAVIDSON.
| 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).