JEFFREY D SMALL (Credential# 158014) 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.
JEFFREY D SMALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017827. 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 1900 Fence Row Drive, Fairfield, CT 06824. The current status is active.
| Licensee Name | JEFFREY D SMALL |
| Credential ID | 158014 |
| Credential Number | CSP.0017827 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1900 Fence Row Drive Fairfield CT 06824 |
| 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 | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 548493 | 1.030495 | Physician/Surgeon | 1989-12-08 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 1900 Fence Row Drive |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aeron Small | 20 York Street, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Small | 252 Trumbull Highway, Lebanon, CT 06249 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric Small | 220 North Central Ave, Hartsdale, NY 10530 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kevin H Small | 50 Rolling Hill Lane, Old Westbury, NY 11568 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Small Md | 7365 Main Street, Stratford, CT 06497 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Maria Small Md | Yale Unversity School Medicine, New Haven, CT 06520-8063 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Jeffrey Factor | Jeffrey M. Factor, Md, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William S Pfaffmann · Small Smiles Dental Center of Hartford | 62 Autumn Ln, Middletown, CT 06457-4787 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey N Masi | New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2011-06-13 ~ 2013-02-28 |
| Jeffrey A Carruth Md | Po Box 264, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-10 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JEFFREY D SMALL.
| 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).