ADAM Q FERGUSON (Credential# 1459200) 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.
ADAM Q FERGUSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067044. 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 863 N Main St Ext, Wallingford, CT 06492. The current status is active.
| Licensee Name | ADAM Q FERGUSON |
| Credential ID | 1459200 |
| Credential Number | CSP.0067044 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
863 N Main St Ext Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1440834 | 1.057115-DO | Physician/Surgeon | 2017-10-11 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 863 N MAIN ST EXT |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James F Ferguson Md | 90 Mansion Rd, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Kevin Ferguson | 91 Chestnut St, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Caitlin Ferguson | 65 Aunt Hack Rd, Danbury, CT 06811-2720 | Controlled Substance Registration for Practitioner | 2020-06-16 ~ 2021-02-28 |
| Eric C Ferguson | 5333 Mcauley Dr, Ypsilanti, MI 48197-1014 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Melissa A Ferguson | 81 Grey Rocks Rd, Wilton, CT 06897-4052 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| William B Ferguson M.d. | 94 Wilson Avenue, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Mary Kate Ferguson Pa | 96 Staffordshier Commons, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 1993-11-22 ~ 1995-09-01 |
| Adam Y Hsu Md | 500 Bedford St Apt 220, Stamford, CT 06901-1508 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Adam D Corrado Md | Po Box 37, Farmington, CT 06034-0037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam R Silevitch | 189 W 89th St Apt 6q, New York, NY 10024-1963 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on ADAM Q FERGUSON.
| 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).