JOHN A FRAZIER (Credential# 151566) 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.
JOHN A FRAZIER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010869. 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 61 Bradley St, Bristol, CT 06010-5103. The current status is active.
| Licensee Name | JOHN A FRAZIER |
| Credential ID | 151566 |
| Credential Number | CSP.0010869 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
61 Bradley St Bristol CT 06010-5103 |
| 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 | 2019-01-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544672 | 1.023662 | Physician/Surgeon | 1982-07-01 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John A Frazier | 33 Crest Wood Drive, Manchester, CT 06040 | Emergency Medical Responder | 2006-07-14 ~ 2009-07-01 |
| Street Address | 61 BRADLEY ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-5103 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nandini Ravindra Menon | 61 Bradley St, Bristol, CT 06010-5103 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert E Hicks Md | 61 Bradley St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Vachio | 61 Bradley St Ste 5, Bristol, CT 06010-5103 | Massage Therapist | 2013-04-01 ~ 2015-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura L Frazier Dvm | 89 New Canaan Ave, Norwalk, CT 06850-2615 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Catherine M Florio | 1353 Frazier Rd, Sparta, TN 38583 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Monte N Frazier Dvm | 44 Robertsville Road, Winsted, CT 06098 | Controlled Substance Registration for Practitioner | 1998-03-06 ~ 1999-02-28 |
| Ophelia S Empleo-frazier | 175 Scenic Court, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alaric Donham Frazier | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John K John Md | 706f Doctors Drive, Kinston, NC 28501 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| John J. Dannon | Po Box 607, Canaan, CT 06018-0607 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Delhagen Md | Po Box 772, Greenwich, CT 06836 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| John Lum | 4-6 Union Ave #20, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John J Girald | Po Box 11, Newbury, NH 03255 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-01-17 |
Please comment or provide details below to improve the information on JOHN A FRAZIER.
| 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).