EZRA DETROY (Credential# 1261909) 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.
EZRA DETROY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059207. 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 3 Old Stone Crossing, West Simsbury, CT 06092. The current status is active.
Licensee Name | EZRA DETROY |
Credential ID | 1261909 |
Credential Number | CSP.0059207 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
3 Old Stone Crossing West Simsbury CT 06092 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-04-24 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1262901 | 1.054063 | Physician/Surgeon | 2015-04-23 | 2019-05-01 - 2020-04-30 | ACTIVE |
942735 | CSP.0047938 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-07-12 | 2011-03-07 - 2013-02-28 | INACTIVE |
Street Address | 3 Old Stone Crossing |
City | West Simsbury |
State | CT |
Zip Code | 06092 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard E Schoenhardt | 7 Pasture Ln, W Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
Agnes M Walsh | 202 Farms Village Road, West Simsbury, CT 06092 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Theodore C Hsu | 22 Fox Den Road, West Simsbury, CT 06092 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Keith R Epstein | 34 Fox Den Rd, Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
Laura L Nelson | 109 Hedgehog Lane, West Simsbury, CT 06092 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
Kathryn P Rothstein | 7 Sachems Trail, West Simsbury, CT 06092 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Timothy M Parker | 14 Cedar Hill Rd, West Simsbury, CT 06092 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Teresa Pfau St Denis | 55 Wildwood Rd, W Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
Jennifer R Martocchio | 6 Counrty Club Drive, West Simsbury, CT 06092 | Real Estate Salesperson | ~ |
Felipe R Segura | 370c West Mountain Road, West Simsbury, CT 06092 | Real Estate Salesperson | 2020-06-10 ~ 2021-05-31 |
Find all Licenses in zip 06092 |
City | West Simsbury |
Zip Code | 06092 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Simsbury |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
A Ezra Andrews Md | 19 Banks Rd, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Donna-lee Taylor | 83 Ezra St, North Haven, CT 06473-2721 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Ezra E. H. Griffith Md | Yale University School of Medicine, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Ezra Friedman | 464 Wolcott Road, Wolcott, CT 06716 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Old Ezra Ksbw 7yr | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-07-06 ~ 2019-07-05 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Ezra Brooks Rye Bourbon | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-12-06 ~ 2022-12-04 |
Ezra Brooks Cinnamon | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2013-02-15 ~ 2016-02-14 |
Old Ezra 7yr Barrel Strength | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-08-08 ~ 2021-08-07 |
Ezra Academy | 75 Rimmon Rd, Woodbridge, CT 06525-2003 | Bazaar Permit Class 3 | 2017-01-28 ~ 2017-01-28 |
Please comment or provide details below to improve the information on EZRA DETROY.
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).