CHRISTIAN A HEINEKEN (Credential# 144411) 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.
CHRISTIAN A HEINEKEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011684. 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 One Ballaro Drive, Shelton, CT 06484. The current status is active.
| Licensee Name | CHRISTIAN A HEINEKEN |
| Credential ID | 144411 |
| Credential Number | CSP.0011684 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
One Ballaro Drive Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 545181 | 1.024786 | Physician/Surgeon | 1983-07-12 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | One Ballaro Drive |
| City | Shelton |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael A Christian | 625 Hopmeadow St, Simsbury, CT 06070-2449 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christian D Nagy Md | 40 Chapel St Apt 211, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Christian W Zoeller | 152 Addison Rd, Glastonbury, CT 06033-1605 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Christian G Heinis | 292 Lincoln St, Worcester, MA 01605-2106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christian J Amlang | 136 Dwight St Apt 34, New Haven, CT 06511-4563 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christian E Bartels | 14 Fern St, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christian Theodosis | 78 Olive St#422, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-10-25 ~ 2005-02-28 |
| Christian A. Wysocki | 81 Dorrance St, Hamden, CT 06518-3343 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Lawrence S Christian Dmd | 625 Hopmeadow St, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christian R Edwards | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on CHRISTIAN A HEINEKEN.
| 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).