DEREK WILLIAM DONOVAN (Credential# 1395216) 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.
DEREK WILLIAM DONOVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064503. 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 484 Middletown Rd, Colchester, CT 06415-2230. The current status is active.
| Licensee Name | DEREK WILLIAM DONOVAN |
| Credential ID | 1395216 |
| Credential Number | CSP.0064503 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
484 Middletown Rd Colchester CT 06415-2230 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-12-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1363189 | 23.003652 | Physician Assistant | 2016-08-05 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 484 MIDDLETOWN RD |
| City | COLCHESTER |
| State | CT |
| Zip Code | 06415-2230 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| A Best Gutters LLC | 484 Middletown Rd, Colchester, CT 06415 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Haley H Stickel | 494 Middletown Rd, Colchester, CT 06415-2230 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Jeremy A Doyle | 492 Middletown Rd, Colchester, CT 06415-2230 | Wholesaler Salesman | 2017-02-01 ~ 2019-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Shattuck | 66 South Road, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Linda Smith · Lamb | 25 Loomis Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Vincent Vespa Jr | 671 Norwich Ave, Colchester, CT 06415 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Deborah L Strong · Bowen | 98 Lebanon Avenue, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Lucy A Boisse | 115 Stanavage Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Alicia R Bohnenkamper | 906 Canterbury Lane, Colchester, CT 06415 | Notary Public Appointment | 2011-09-28 ~ 2016-09-30 |
| Anna M Sofia | 75 B Elmwood Heights, Colcheshter, CT 06415 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J J Noels Supermarket | 15 Broadway, Colchester, CT 06415 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Linda S Kvasnik | 69 Colburn Dr, Colchester, CT 06415 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| James W Bansemer · General Builders & Remodelers | 87 O'connell Road, Colchester, CT 06415 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Find all Licenses in zip 06415 | |||
| City | COLCHESTER |
| Zip Code | 06415 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + COLCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William D Donovan Md | William W Backus Hospital, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa M Donovan Md | 27 Red Cross Ave, Newport, RI 02840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elaine Donovan | 188 Atkins St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ryan J Donovan Pa | 40 Brookside Pl, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa O'donovan | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
| James F Donovan Md | 211 Farmcliff Dr, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 1993-05-14 ~ 1995-06-01 |
| Kenneth W Donovan Md | 26 Dawley Dr, Stonington, CT 06378-2021 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek R Corporon | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-06-18 ~ 2021-02-28 |
| Derek Y. Obayashi | 282 Washington St Ste 2b, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Derek S. Shia | 9 Washington Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DEREK WILLIAM DONOVAN.
| 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).