ERIKA L FAIRCLOTH (Credential# 1488456) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ERIKA L FAIRCLOTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057851-RES. The credential type is resident physician. The effective date is June 28, 2020. The expiration date is June 30, 2021. The business address is 159 Ballahack Rd # 2, East Haddam, CT 06423-1246. The current status is active.
| Licensee Name | ERIKA L FAIRCLOTH |
| Credential ID | 1488456 |
| Credential Number | 1.057851-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
159 Ballahack Rd # 2 East Haddam CT 06423-1246 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-28 |
| Effective Date | 2020-06-28 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1425226 | CSP.0065524 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 2045549 | 1.066278 | Physician/Surgeon | 2020-06-23 | 2020-06-23 - 2021-01-31 | ACTIVE |
| Street Address | 159 BALLAHACK RD # 2 |
| City | EAST HADDAM |
| State | CT |
| Zip Code | 06423-1246 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Regina J Carri · James | 155 Ballahack Rd, East Haddam, CT 06423-1246 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Rock Oil LLC | 163 Ballahack Rd # 2, East Haddam, CT 06423-1246 | Home Heating Fuel Dealer | 2019-10-30 ~ 2020-09-30 |
| Valerie C Lanning | 145 Ballahack Rd # 2, East Haddam, CT 06423-1246 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Kimberly Kowalski | 155 Ballahack Rd # 2, East Haddam, CT 06423-1246 | Massage Therapist | 2009-08-25 ~ 2011-06-30 |
| Rock N Soucy | 163 Ballahack Rd # 2, East Haddam, CT 06423-1246 | Heating, Piping & Cooling Limited Journeyperson | 2019-10-31 ~ 2020-08-31 |
| Holly T Savinelli | 145 Ballahack Rd # 2, East Haddam, CT 06423-1246 | Emergency Medical Technician | ~ 1998-04-01 |
| Christie A Faircloth | 159 Ballahack Rd, East Haddam, CT 06423-1246 | Bingo Operator | 2012-02-17 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Audrey H Kyle-oates | P O Box 23, East Haddam, CT 06423 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Roy Rogers | 18 Cove Road, East Haddam, CT 06423 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Allison L Cappitella Aprn | 31 Bogue Lane, East Haddam, CT 06423 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Staehly Farm Winery | 274-278 Town St, East Haddam, CT 06423 | Farmer's Market Permit | 2020-05-30 ~ 2021-05-29 |
| Gail Smoloski-heil · Smoloski | 155 Parker Road, East Haddam, CT 06423 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| J. Christopher Backes | 55 Main Street, East Haddam, CT 06423 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Rachael Finch | 342 Mt. Parnassus Road, East Haddam, CT 06423 | Medication Administration Certification | ~ |
| Change A Life Dog Rescue, Inc. · N/a | 9 Ridge Road, East Haddam, CT 06423 | Public Charity | 2020-06-11 ~ 2021-11-30 |
| George Fellner | P.o. Box 115, East Haddam, CT 06423 | Architect | 2020-08-01 ~ 2021-07-31 |
| Maureen K Goff | 180 Daniel Peck Rd, East Haddam, CT 06423 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Find all Licenses in zip 06423 | |||
| City | EAST HADDAM |
| Zip Code | 06423 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + EAST HADDAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika G Pimentel Ramirez | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2018-07-01 ~ 2020-06-30 |
| Erika Auto Styling | 467 South Main St, New Britain, CT 06051 | Tv & Radio Dealer | 2009-09-01 ~ 2010-08-31 |
| Erika S Monti | 107 2nd St, Dumont, NJ 07628-3333 | Physician Assistant | 2019-10-01 ~ 2020-09-30 |
| Erika Low | 720 Fort Washington Ave Apt 1b, New York, NY 10040-3710 | Physician Assistant | ~ |
| Kameelah L Faircloth-thompson | Po Box 7514, Marietta, GA 30065-1514 | Registered Nurse | ~ |
| Fay M Faircloth | 41a William F Palmer Rd, Moodus, CT 06469-1132 | Hairdresser/cosmetician | 2018-11-01 ~ 2020-10-31 |
| Carmen Fappiano | 706 Faircloth Ct, Evans, GA 30809-6300 | Hairdresser/cosmetician | 1994-06-21 ~ 1995-06-30 |
| Erika Jessen | 234 Church St., New Haven, CT 06510 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Erika S. Surace | 77 Danbury Rd, Ridgefield, CT 06877-4029 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Erika M Balfour | 80 Park Ave Apt 10p, New York, NY 10016-2545 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
Please comment or provide details below to improve the information on ERIKA L FAIRCLOTH.
| 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).