TROY FRAZER (Credential# 1674590) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 9, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
TROY FRAZER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071860. The credential type is controlled substance registration for practitioner. The effective date is July 9, 2019. The expiration date is February 28, 2021. The business address is 89 Stonewall Road, Salem, CT 06420. The current status is active.
| Licensee Name | TROY FRAZER |
| Credential ID | 1674590 |
| Credential Number | CSP.0071860 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
89 Stonewall Road Salem CT 06420 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-09 |
| Effective Date | 2019-07-09 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1631290 | 1.063622 | Physician/Surgeon | 2019-06-07 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 89 STONEWALL ROAD |
| City | SALEM |
| State | CT |
| Zip Code | 06420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra I Delorimiere | 322 Round Hill Road, Salem, CT 06420 | Real Estate Salesperson | ~ |
| Darci J Smith | 25 Salem Ridge Drive, Salem, CT 06420 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Pamela Minella | 135 Sullivan Rd., Salem, CT 06420 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
| Alfreda Shapere · Bingham | 170 Darling Rd, Salem, CT 06420 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Paul A Pudimat Md | 61 Emerald Glen Lane, Salem, CT 06420 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas J Butcher | 248 Norwich Road, Salem, CT 06420 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Destiny Faye Henkel | 65 Horse Pond Rd, Salem, CT 06420 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-13 |
| Kevin R Fennell | 105 Witter Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Scott D Pellerin | 301 Rattlesnake Ledge Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Salem Prime Cuts Inc · John Fusaro Jr | 12 New London Rd, Salem, CT 06420 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06420 | |||
| City | SALEM |
| Zip Code | 06420 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Uma R Madhusudana | 147 Frazer Fir Rd, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sameera Tallapureddy | 118 Frazer Fir Rd, South Windsor, CT 06074-1658 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Taha Ali | 3678 Old Creek Rd, Troy, MI 48084-1627 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick J Troy Md | 85 Seymour St Ste 923, Hartford, CT 06106-5529 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vaka Sigurjonsdottir | 25 Troy St, West Hartford, CT 06119-1757 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Troy T Desai | 2800 Main St, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Olafur H. Thorvaldsson | 25 Troy St, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Troy Glaser | 4317 E 118th St, Tulsa, OK 74137-8301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary Mukamba Hove | 827 Willow Ridge Rd, Troy, VA 22974-6224 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Janjenali Villaflor | 1144 Alameda Blvd, Troy, MI 48085-6734 | Controlled Substance Registration for Practitioner | 2019-08-16 ~ 2021-02-28 |
Please comment or provide details below to improve the information on TROY FRAZER.
| 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).