GERARD GRAHAM DDS (Credential# 153226) 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.
GERARD GRAHAM DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009424. 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 Avon Wellness Center Dental Associates, Avon, CT 06001. The current status is active.
| Licensee Name | GERARD GRAHAM DDS |
| Credential ID | 153226 |
| Credential Number | CSP.0009424 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Avon Wellness Center Dental Associates Avon CT 06001 |
| 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 | 2019-01-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 701146 | 2.005745 | Dentist | 1980-05-17 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | AVON WELLNESS CENTER DENTAL ASSOCIATES |
| City | AVON |
| State | CT |
| Zip Code | 06001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
| Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
| Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
| Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06001 | |||
| City | AVON |
| Zip Code | 06001 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + AVON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gerard M Roy | 1 Grove St Fl 2, New Britain, CT 06053-4116 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gerard Burrow Md | 110 Deepwood Dr, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Gerard J Muro Md | 4 Corporate Dr Ste 182, Shelton, CT 06484-6263 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tamara L Jessiman Lnm | 31 Gerard St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Gerard S Mason | 8 Bayberry Ct, Cromwell, CT 06416-1766 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth W Gerard | 8 Aquamarine Dr, Key West, FL 33040-5601 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Gerard J Foye Jr | 20 Alan Ave, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gerard Fumo | 435 Lewis Ave Ste 220, Meriden, CT 06451-2101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jody Gerard | 4 Overview Dr, Easton, CT 06612-2059 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gerard Mccloskey Md | 127 Turtle Bay Dr, Branford, CT 06405-4981 | 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).