ANDREW W GROSE (Credential# 1214646) 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 W GROSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056936. 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 1 Blachley Rd, Stamford, CT 06902-0002. The current status is active.
Licensee Name | ANDREW W GROSE |
Credential ID | 1214646 |
Credential Number | CSP.0056936 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
1 Blachley Rd Stamford CT 06902-0002 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2014-04-02 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1152170 | 1.052632 | Physician/Surgeon | 2013-12-24 | 2019-12-01 - 2020-11-30 | ACTIVE |
Street Address | 1 BLACHLEY RD |
City | STAMFORD |
State | CT |
Zip Code | 06902-0002 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth Ann Cody | 1 Blachley Rd, Stamford, CT 06902-0002 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Daniel Crowe | 1 Blachley Rd, Stamford, CT 06902-0002 | Occupational Therapist | 2020-06-16 ~ 2021-07-31 |
Chelsea Piers Connecticut LLC | 1 Blachley Rd, Stamford, CT 06902-0001 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Stephen J Massimi | 1 Blachley Rd, Stamford, CT 06902-0002 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Nicholas Ryan Sgrignoli | 1 Blachley Rd, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-07-29 ~ 2021-02-28 |
Bernard A Rawlins | 1 Blachley Rd, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Bradford Sutton Waddell | 1 Blachley Rd, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Thomas Higginbotham | 1 Blachley Rd, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
John D Dowdle Md | 1 Blachley Rd, Stamford, CT 06902-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Chelsea Piers Connecticut | 1 Blachley Rd, Stamford, CT 06902-0001 | Racquetball Facility Liquor | 2019-09-20 ~ 2021-01-19 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Daphne A Scott | Hospital for Special Surgery, Stamford, CT 06902-0002 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06902 |
City | STAMFORD |
Zip Code | 06902 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Andrew B Kirk Pa | 31 River Rd, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Andrew J Yoon | 318 Elm St Apt A4, New Haven, CT 06511-4772 | Controlled Substance Registration for Practitioner | 2008-09-30 ~ 2009-02-28 |
Andrew E Kim Md | 2 Foxhall Rd, Newtown, PA 18940-2930 | Controlled Substance Registration for Practitioner | 2015-06-15 ~ 2017-02-28 |
Andrew Oh | 205 Church St Apt 2j, New Haven, CT 06510-1895 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Andrew Lim | 81 Fieldstone Run, Farmington, CT 06032-2741 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Andrew D Pearle | 390 Forest Ave, Rye, NY 10580-3613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Andrew Cha | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
Andrew D Stiles | 201 Ann St Apt 305, Hartford, CT 06103-2000 | Controlled Substance Registration for Practitioner | 2015-07-27 ~ 2017-02-28 |
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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).