DAVID J FREDERICKS (Credential# 1362824) 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.
DAVID J FREDERICKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063313. 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 1 Aspetuck Ave, New Milford, CT 06776-2842. The current status is active.
| Licensee Name | DAVID J FREDERICKS |
| Credential ID | 1362824 |
| Credential Number | CSP.0063313 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Aspetuck Ave New Milford CT 06776-2842 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1349381 | 2.011630 | Dentist | 2016-06-14 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 1 ASPETUCK AVE |
| City | NEW MILFORD |
| State | CT |
| Zip Code | 06776-2842 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard G Klein | 1 Aspetuck Ave, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lorene Konopka-colonel Dds | 1 Aspetuck Ave, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Peter J Allen | 1 Aspetuck Ave, New Milford, CT 06776 | Engineer-in-training | 1985-08-20 ~ 1995-08-20 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tai Nguyen | 3 Briar Ln, New Milford, CT 06776 | Nail Technician | 2020-06-27 ~ 2022-05-31 |
| Deborah Lee Winter | 22 Morey Road, New Milford, CT 06776 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
| Sega Ready Mix | 519 Danbury Rd, New Milford, CT 06776 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nicole L Lynch | 13 Skyview Drive, New Milford, CT 06776 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Filipe Fialho Fernandes | 14 Wellsville Ave, New Milford, CT 06776 | Tattoo Technician | 2020-06-01 ~ 2022-05-31 |
| Petrela Nail & Spa Inc | 60 Park Lane Road, New Milford, CT 06776 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Carol S Glintenkamp | 12 Saddle Ridge Rd., New Milford, CT 06776 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bradley A Kamp | 11 Saddle Ridge Road, New Milford, CT 06776 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| John W Slattery | 8 West Meetinghouse Rd, New Milford, CT 06776 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Stephen J Ferreira | 123 Washington Ridge Road, New Milford, CT 06776 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
| Find all Licenses in zip 06776 | |||
| City | NEW MILFORD |
| Zip Code | 06776 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles E Fredericks | 145 Old Twn Farm Rd, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Ryan M Fredericks | 282 Willow St Fl 2, New Haven, CT 06511-2426 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carolyn A Fredericks | 15 York Street, Lci 710, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| David F Lee Dds | 521 3rd Ave Apt 2, New York, NY 10016-4747 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David Cone Md | 58 Middletown Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2003-07-02 ~ 2004-02-28 |
| David A Williams | David Williams Aprn, Danbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David P Nocek Md | David Nocek, Greenwich, CT 06831-5100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Cardaropoli | 260 Elm St, Enfield, CT 06082-3113 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A. Petti Dds | 9 Hill St, Rye, NY 10580-2601 | Controlled Substance Registration for Practitioner | ~ |
| David Ryu | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-04-22 ~ 2013-02-28 |
Please comment or provide details below to improve the information on DAVID J FREDERICKS.
| 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).