CHARLES E FREDERICKS (Credential# 155030) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
CHARLES E FREDERICKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016093. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 145 Old Twn Farm Rd, Woodbury, CT 06798. The current status is inactive.
| Licensee Name | CHARLES E FREDERICKS |
| Credential ID | 155030 |
| Credential Number | CSP.0016093 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
145 Old Twn Farm Rd Woodbury CT 06798 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547390 | 1.028795 | Physician/Surgeon | 1988-02-05 | 1996-02-21 - 1997-04-30 | INACTIVE |
| Street Address | 145 OLD TWN FARM RD |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
| Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
| Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06798 | |||
| City | WOODBURY |
| Zip Code | 06798 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David J Fredericks | 1 Aspetuck Ave, New Milford, CT 06776-2842 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ryan M Fredericks | 282 Willow St Fl 2, New Haven, CT 06511-2426 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Carolyn A Fredericks | 15 York Street, Lci 710, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| Charles R Watson Md | Sunrise, FL 33323 | Controlled Substance Registration for Practitioner | 2009-03-05 ~ 2011-02-28 |
| Charles M Zatzkin | 391 E Putnam Ave, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles E Ray Dds | 46 Charcoal Ave, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Charles J Rehkamp | P O Box 488, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 1995-03-23 ~ 1996-02-28 |
| Charles B Baker Md | 400 Mansfield St, New Haven, CT 06511-2023 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles J Lobel Dds | 17 Sasqua Rd, Norwalk, CT 06855-2824 | Controlled Substance Registration for Practitioner | 2015-03-10 ~ 2017-02-28 |
| Lorna P Charles Md | 36 Seabury Ave, Ledyard, CT 06339 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on CHARLES E FREDERICKS.
| 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).