DERMATOLOGY AT FARMINGTON (Credential# 1284024) 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.
DERMATOLOGY AT FARMINGTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060214. 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 21 South Rd, Farmington, CT 06032-2482. The current status is active.
| Licensee Name | DERMATOLOGY AT FARMINGTON |
| Business Name | DERMATOLOGY AT FARMINGTON |
| Doing Business As | KIMBERLY METCALF |
| Credential ID | 1284024 |
| Credential Number | CSP.0060214 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
21 South Rd Farmington CT 06032-2482 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-05-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-17 |
| Street Address | 21 SOUTH RD |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-2482 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katalin Ferenczi | 21 South Rd, Farmington, CT 06032-2482 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Malcolm Creighton-smith | 21 South Rd, Farmington, CT 06032-2482 | Physician/surgeon | 2020-05-07 ~ 2021-05-31 |
| Hao Feng | 21 South Rd, Farmington, CT 06032 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Marti J Rothe | 21 South Rd, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kimberley Rutherford | 21 South Rd, Farmington, CT 06032-2482 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally A Cote | 21 South Rd, Farmington, CT 06030-4035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Soheil S Dadras | 21 South Rd, Farmington, CT 06032-2410 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Nikita Lakdawala | 21 South Rd, Farmington, CT 06032-2482 | Controlled Substance Registration for Practitioner | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas A Feldman Md · Gastroenterology & Internal Med | 21 South Rd Ste 100, Farmington, CT 06032-2482 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Janelle R. Mallett | 21 South Rd Fl 2, Farmington, CT 06032-2482 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Karl M Dauphinais | 21 South Rd Ste 110, Farmington, CT 06032-2482 | Controlled Substance Registration for Practitioner | 2019-04-09 ~ 2021-02-28 |
| Benjamin J Wycherly Md | 21 South Rd Ste 112, Farmington, CT 06032-2482 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Michael Horwich | 21 South Rd Fl 2, Farmington, CT 06032-2482 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John B Kelly IIi | Uconn Department of Dermatology, Farmington, CT 06030-6231 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Dermatology At Canton · Kimberly Metcalf | 117 Albany Tpke, Canton, CT 06019-2507 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laura Van Why Md | Savin Dermatology Center, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Alicia J Little | 333 Cedar St, Dept of Dermatology, New Haven, CT 06520-8059 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brittany Craiglow | Yale Dermatology, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laurie Bain Md | C/o New England Dermatology Assoc., Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher W Norwood Md | Department of Dermatology, Rocky Hill, CT 06067 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Earl J Glusac Md | Yale School of Medicine/dermatology, New Haven, CT 06520-8059 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beth A Buscher Md | Dermatology Associates of Western Connecticut, Newtown, CT 06470-1408 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alicia D Beck Pa | Saybrook Dermatology, Old Saybrook, CT 06475 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).