JUDITH MARIE HOLMGREN MD (Credential# 1462095) 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.
JUDITH MARIE HOLMGREN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067110. 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 193 Chantilly Ave, North Adams, MA 01247-3126. The current status is active.
| Licensee Name | JUDITH MARIE HOLMGREN MD |
| Credential ID | 1462095 |
| Credential Number | CSP.0067110 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
193 Chantilly Ave North Adams MA 01247-3126 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1453723 | 1.057178 | Physician/Surgeon | 2017-11-16 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 193 CHANTILLY AVE |
| City | NORTH ADAMS |
| State | MA |
| Zip Code | 01247-3126 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica L Melendez | 14 Jackson Street, North Adams, MA 01247 | Professional Counselor | 2020-01-01 ~ 2020-12-31 |
| Laura L Netti | 1121 River Rd, Clarksburg, MA 01247 | Pharmacy Intern | 2019-08-30 ~ 2023-09-30 |
| Francis Willor · Enl Siding | 80 Chase Ave, North Adams, MA 01247 | Home Improvement Contractor | 2004-11-18 ~ 2004-11-30 |
| Bubble Gum Guys Vending Services | 1268 Mass Ave, North Adams, MA 01247 | Vending Machine Operator | 1997-02-10 ~ 1997-06-30 |
| Jeffrey Martin | 472 1/2 Union St, North Adams, MA 01247 | Hoisting Equipment Operator | 2018-05-26 ~ 2020-05-25 |
| Forist A. Mclain | 35 Whitman Street, North Adams, MA 01247 | Crane Operator | 2000-03-13 ~ 2002-03-12 |
| Bimal R Patel | North Adams Regional Hosital, North Adams, MA 01247 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| David L Johnson | 29 Owens Avenue, North Adams, MA 01247 | Nursing Home Administrator | 2011-02-01 ~ 2013-01-31 |
| Michael Towler | 432 Church Street, North Adams, MA 01247 | Backflow Prevention Device Tester | 2004-10-01 ~ 2007-09-30 |
| Kenneth J Bushika | 345 Houghton St, North Adams, MA 01247 | Limited Sheet Metal Journeyperson | 2010-09-22 ~ 2011-08-31 |
| Find all Licenses in zip 01247 | |||
| City | NORTH ADAMS |
| Zip Code | 01247 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH ADAMS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna Marie Marie Romito | 330 Washington St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rakesh Hegde | 187 Judith Ln, Waterbury, CT 06704-1936 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Judith R Marcus Md | 233 Mckinley Ave, New Haven, CT 06515-2009 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Judith A Faulkner | 1 New Haven Ave Ste 101, Milford, CT 06460-3398 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Margot B Hampson | 15 Judith Dr, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph Horvath | 255 Judith Dr, Stormville, NY 12582-5263 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Judith G Pardo Md | Litchfield Ob/gyn PC, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Ritika Bansal | 197 Judith Ln Apt 1, Waterbury, CT 06704-1944 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Judith A Buckley | 10 Cobble Road, Harwinton, CT 06791 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Judith L Carbonella | 75 Autumn Court, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).