BEVAN K HOLLINGSWORTH (Credential# 1275306) 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.
BEVAN K HOLLINGSWORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059774. 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 428 Columbus Ave, New Haven, CT 06519-1233. The current status is active.
| Licensee Name | BEVAN K HOLLINGSWORTH |
| Credential ID | 1275306 |
| Credential Number | CSP.0059774 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
428 Columbus Ave New Haven CT 06519-1233 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-04-16 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1273538 | 19.000924 | Podiatrist | 2015-04-15 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 428 COLUMBUS AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1233 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Hill Health Corporation · Hill Health Center Pharmacy | 428 Columbus Ave, New Haven, CT 06519 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Pamela Susan Schreiber | 428 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cornell Scott - Hill Health Center Pharmacy | 428 Columbus Ave, New Haven, CT 06519-1233 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Dana Ramsey Lnm | 428 Columbus Ave, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Melissa S Lagoy Cnm | 428 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Hill Health Center | 428 Columbus Ave, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 1995-09-27 ~ 1997-02-28 |
| Bonita Stanton | 428 Columbus Ave, New Haven, CT 06519-1233 | Physician/surgeon | ~ 1984-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lucy Evelyn Wojcicki | 400 Columbus Ave, New Haven, CT 06519-1233 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Adult Psychiatric Clinic | 400 Columbus Ave # 428, New Haven, CT 06519-1233 | Psychiatric Outpatient Clinic | 2019-04-01 ~ 2023-03-31 |
| Adult Psychiatric Clinic/child and Family Guidance Clinic | 400 Columbus Ave, New Haven, CT 06519-1233 | Substance Abuse | 2019-04-01 ~ 2021-03-31 |
| Margo Louise Fugate | 400 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hilary E. Fazzone | 400 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cornell Scott-hill Health Center | 400 Columbus Ave # 428, New Haven, CT 06519-1233 | Outpatient Clinic | 2016-10-01 ~ 2020-09-30 |
| Max Jean-gilles | 400 Columbus Ave, New Haven, CT 06519-1233 | Physician/surgeon | 1984-06-19 ~ 1987-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Carl M Wright Jr | 73 White Street, New Haven, CT 06519 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bevan Funnell Ltd | 909 West Market Center Dr, High Point, NC 27260 | Manufacturer of Bedding & Upholstered Furniture | 1999-12-21 ~ 2000-04-30 |
| Bevan Ontogeny Red Blend | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2020-07-02 ~ 2023-06-30 |
| Bevan Cabernet Sauvignon | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-01-11 ~ 2021-01-10 |
| Bevan Red Ee Tench Oakville | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-11-01 ~ 2022-10-30 |
| Bevan Funnell Ltd Reprodux Inc | 909 West Market Center Dr, High Point, NC 27260 | Manufacturer of Bedding & Upholstered Furniture | 1991-08-26 ~ 1992-08-26 |
| 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 |
| Bevan Chardonnay Sonoma Coast Reserve | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2016-09-23 ~ 2019-09-21 |
| Bevan Cabernet Tench Vineyard Oakville | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2019-05-07 ~ 2022-05-06 |
| Bevan Pinot Noir Sonoma Mountain | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2014-06-02 ~ 2017-06-01 |
| Bevan Proprietary Red Wine Sugerloaf Mountain | Connecticut Brand Registration, CT 06106 | Liquor Brand Label | 2013-03-13 ~ 2016-03-12 |
Please comment or provide details below to improve the information on BEVAN K HOLLINGSWORTH.
| 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).