DERRICK A BAILEY MD (Credential# 163446) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
DERRICK A BAILEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023004. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 26 Windy Hill Drive, South Windsor, CT 06074. The current status is inactive.
Licensee Name | DERRICK A BAILEY MD |
Credential ID | 163446 |
Credential Number | CSP.0023004 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
26 Windy Hill Drive South Windsor CT 06074 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Effective Date | 2015-03-01 |
Expiration Date | 2017-02-28 |
Refresh Date | 2018-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
544629 | 1.023594 | Physician/Surgeon | 1982-06-01 | 2015-06-01 - 2016-05-31 | INACTIVE |
Street Address | 26 Windy Hill Drive |
City | South Windsor |
State | CT |
Zip Code | 06074 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Daniel R Troiano | 75 Heritage Drive, South Windsor, CT 06074 | Embalmer | 2020-08-01 ~ 2021-07-31 |
Kyle A Jones | 38 Marilyn Road, South Windsor, CT 06074 | Real Estate Salesperson | ~ |
Beelzebub Road | 310 Beelzebub Road, South Windsor, CT 06074 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
Barbara Brant Feehan | 139 Rockledge Drive, South Windsor, CT 06074 | Audiologist | 2020-09-01 ~ 2021-08-31 |
Jillmarie S Macaluso | 230 Orchard Hill Dr, S Windsor, CT 06074 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Jason K Smith | 854 Foster Street Ext, South Windsor, CT 06074 | Professional Engineer | 2020-06-26 ~ 2021-01-31 |
Abc Property Care LLC | 376 Pleasant Valley Road, South Windsor, CT 06074 | Home Improvement Contractor | 2020-06-26 ~ 2020-11-30 |
Ashley Ann Corridori | 21 Abar Lane, South Windsor, CT 06074 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Rawnak Afrose | 120 Loomis Rd, South Windsor, CT 06074 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
Adeola Martins | 467 Oakland Road, South Windsor, CT 06074 | Licensed Practical Nurse | ~ |
Find all Licenses in zip 06074 |
City | South Windsor |
Zip Code | 06074 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + South Windsor |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Derrick Minardi | 503 Highcroft Pl, Weatogue, CT 06089-7916 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Danielle Hellthaler | 4 Bailey St, Trumbull, CT 06611-4302 | Controlled Substance Registration for Practitioner | 2019-08-01 ~ 2021-02-28 |
Meredith A Bailey | 726 New Haven Rd, Durham, CT 06422-2408 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert Bailey Dds | 35 Pleasant St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2001-02-01 ~ 2001-02-28 |
Mitesh Brahmbhatt | 53 Bailey Dr, Westfield, MA 01085-5335 | Controlled Substance Registration for Practitioner | 2020-02-27 ~ 2021-02-28 |
Grant J Bailey | 764 Quinnipiac Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Lara T Bailey | 75 Lancaster Dr, Windsor, CT 06095-1467 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Vanessa D Bailey | 297 Judwin Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rudolph J Ross Md | 149 Bailey Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Kolene E Bailey | 764 Quinnipiac Ave Apt 3, New Haven, CT 06513-3301 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).