CHRISTOPHER D SMITH PA (Credential# 1267023) 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.
CHRISTOPHER D SMITH PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059455. 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 71 Witter Road, Salem, CT 06420. The current status is active.
| Licensee Name | CHRISTOPHER D SMITH PA |
| Credential ID | 1267023 |
| Credential Number | CSP.0059455 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
71 Witter Road Salem CT 06420 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-02-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743311 | 23.001562 | Physician Assistant | 2004-11-09 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 390645 | CSP.0036812 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-11-29 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 71 WITTER ROAD |
| City | SALEM |
| State | CT |
| Zip Code | 06420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra I Delorimiere | 322 Round Hill Road, Salem, CT 06420 | Real Estate Salesperson | ~ |
| Darci J Smith | 25 Salem Ridge Drive, Salem, CT 06420 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Pamela Minella | 135 Sullivan Rd., Salem, CT 06420 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
| Alfreda Shapere · Bingham | 170 Darling Rd, Salem, CT 06420 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Paul A Pudimat Md | 61 Emerald Glen Lane, Salem, CT 06420 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas J Butcher | 248 Norwich Road, Salem, CT 06420 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Destiny Faye Henkel | 65 Horse Pond Rd, Salem, CT 06420 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-13 |
| Kevin R Fennell | 105 Witter Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Scott D Pellerin | 301 Rattlesnake Ledge Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Salem Prime Cuts Inc · John Fusaro Jr | 12 New London Rd, Salem, CT 06420 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06420 | |||
| City | SALEM |
| Zip Code | 06420 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher Denapoles | 126 Big Oak Rd, Stamford, CT 06903-4608 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christopher J Wakem Md | Hem/onc, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Christopher A Dimeo | 8 Manursing Way, Rye, NY 10580-4312 | Controlled Substance Registration for Practitioner | 2019-04-22 ~ 2021-02-28 |
| Christopher M Svogun Pa | 1 Mae Ln, Wallingford, CT 06492-6060 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher T Raczynski Md | Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2011-03-14 ~ 2013-02-28 |
| Christopher Nguyen | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2016-07-25 ~ 2017-02-28 |
| Jay R Smith Md | 85 Seymour St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 1996-03-01 ~ 1997-02-28 |
| Richard N Smith | Po Box 388, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2016-06-16 ~ 2019-02-28 |
| Kathleen L Smith Md | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Christopher B Ransom | 527 Chapel St Apt C1, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on CHRISTOPHER D SMITH PA.
| 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).