ERIC SMALL (Credential# 1341481) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
ERIC SMALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062322. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 220 North Central Ave, Hartsdale, NY 10530. The current status is lapsed.
| Licensee Name | ERIC SMALL |
| Credential ID | 1341481 |
| Credential Number | CSP.0062322 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
220 North Central Ave Hartsdale NY 10530 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2016-03-25 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1299437 | 1.054807 | Physician/Surgeon | 2015-12-07 | 2017-03-01 - 2018-02-28 | INACTIVE |
| Street Address | 220 North Central Ave |
| City | Hartsdale |
| State | NY |
| Zip Code | 10530 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas L Faustini | 6 Burns Street, Hartsdale, NY 10530 | Architect | 2020-08-01 ~ 2021-07-31 |
| John C Douglas | 141 North Central Avenue, Hartsdale, NY 10530 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Delali A Goka | 62 Chaucer St, Hartsdale, NY 10530 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Bennie Chiles | Westchester Spine and Brain Surgery, Hartsdale, NY 10530 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Adele Lasorsa | 47 North Central Avenue Apt 1 I, Hartsdale, NY 10530 | Notary Public Appointment | 2015-03-23 ~ 2020-03-31 |
| Barbara U Zakrzewski | 32 Wood End Rd, Hartsdale, NY 10530 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Aries Deitch & Endelson Inc | 110 South Central Ave, Hartsdale, NY 10530 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Alexa Olimpio | 82 Rocklege Rd Apt. 82 M, Hartsdale, NY 10530 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Martin Ozer | 100 High Point Drive Apt 703, Hartsdale, CT 10530 | Tax Preparer/facilitator Permit | 2020-02-26 ~ 2022-02-28 |
| Martha M Elliott | 125 N Washington Ave, Hartsdale, NY 10530 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 10530 | |||
| City | Hartsdale |
| Zip Code | 10530 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Hartsdale |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aeron Small | 20 York Street, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Small | 252 Trumbull Highway, Lebanon, CT 06249 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin H Small | 50 Rolling Hill Lane, Old Westbury, NY 11568 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey D Small | 1900 Fence Row Drive, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Small Md | 7365 Main Street, Stratford, CT 06497 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Maria Small Md | Yale Unversity School Medicine, New Haven, CT 06520-8063 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Eric J Balaguer Md | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Eric Lao | 8 Sea Island, Glastonbury, CT 06033-1476 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric R Scott | 650 Mix Ave Apt 5a, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Eric Fan Md | 200 Orchard St Ste 303, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ERIC SMALL.
| 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).