JAY ANDERSON (Credential# 1641569) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 25, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JAY ANDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070507. The credential type is controlled substance registration for practitioner. The effective date is March 25, 2019. The expiration date is February 28, 2021. The business address is 80 Shunpike Rd, Cromwell, MN 06416. The current status is active.
| Licensee Name | JAY ANDERSON |
| Credential ID | 1641569 |
| Credential Number | CSP.0070507 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
80 Shunpike Rd Cromwell MN 06416 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-03-25 |
| Effective Date | 2019-03-25 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1629054 | 1.062446-DO | Physician/Surgeon | 2019-03-13 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 80 Shunpike Rd |
| City | Cromwell |
| State | MN |
| Zip Code | 06416 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marketplace Realty LLC · Remax Market Place | 80 Shunpike Rd, Cromwell, CT 06416-4401 | Real Estate Broker | 2013-04-01 ~ 2014-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | Cromwell |
| Zip Code | 06416 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Cromwell |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy L Anderson | 607 E Main St, Meriden, CT 06450-6066 | Controlled Substance Registration for Practitioner | 2019-04-24 ~ 2021-02-28 |
| Carl E Anderson Dds | 22 Fleetwood Rd, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leah D Anderson | 3 Murthas Way, Granby, CT 06035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren R Anderson Md | 219 Alston Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Gustav W Anderson Md | 30 Clark Dr, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 1993-05-26 ~ 1995-06-01 |
| Carrie Harris Pa | 219 Anderson Ave, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Chelsea Anderson | 208 Neck Rd, Madison, CT 06443-2720 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Debra J Anderson | 915 River Rd, Middletown, CT 06457-3921 | Controlled Substance Registration for Practitioner | ~ |
| Feiya Li | 1426 Anderson Ave Fl 2, Fort Lee, NJ 07024-4409 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Frederic P Anderson Md | 40 Front St, Groton, CT 06340-5718 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).