ROBERT DAVIS (Credential# 1676441) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 17, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ROBERT DAVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071972. The credential type is controlled substance registration for practitioner. The effective date is July 17, 2019. The expiration date is February 28, 2021. The business address is 60 Roberts Dr # 313, North Adams, MA 01247-3254. The current status is active.
| Licensee Name | ROBERT DAVIS |
| Credential ID | 1676441 |
| Credential Number | CSP.0071972 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
60 Roberts Dr # 313 North Adams MA 01247-3254 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-17 |
| Effective Date | 2019-07-17 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-07-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1638270 | 1.063847 | Physician/Surgeon | 2019-07-03 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Davis | 225 E Main St, Waterbury, CT 06702-2301 | Emergency Medical Responder | 2020-07-01 ~ 2022-06-30 |
| Robert Davis | 61 Heron Hill Road, Amston, CT 06231 | Notary Public Appointment | 2013-10-18 ~ 2018-10-31 |
| Robert Davis | 860 Prospect Hill Rd, Windsor, CT 06095 | Medication Administration Certification | 2019-06-19 ~ 2021-06-18 |
| Street Address | 60 ROBERTS DR # 313 |
| City | NORTH ADAMS |
| State | MA |
| Zip Code | 01247-3254 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald Hayden | 60 Roberts Dr Ste 313, North Adams, MA 01247-3254 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Adam Kramer | 60 Roberts Dr Ste 313, North Adams, MA 01247-3254 | Controlled Substance Registration for Practitioner | 2020-04-03 ~ 2021-02-28 |
| Swati Dhanireddy | 60 Roberts Dr Ste 313, North Adams, MA 01247-3254 | Controlled Substance Registration for Practitioner | 2019-11-29 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica L Melendez | 14 Jackson Street, North Adams, MA 01247 | Professional Counselor | 2020-01-01 ~ 2020-12-31 |
| Laura L Netti | 1121 River Rd, Clarksburg, MA 01247 | Pharmacy Intern | 2019-08-30 ~ 2023-09-30 |
| Francis Willor · Enl Siding | 80 Chase Ave, North Adams, MA 01247 | Home Improvement Contractor | 2004-11-18 ~ 2004-11-30 |
| Bubble Gum Guys Vending Services | 1268 Mass Ave, North Adams, MA 01247 | Vending Machine Operator | 1997-02-10 ~ 1997-06-30 |
| Jeffrey Martin | 472 1/2 Union St, North Adams, MA 01247 | Hoisting Equipment Operator | 2018-05-26 ~ 2020-05-25 |
| Forist A. Mclain | 35 Whitman Street, North Adams, MA 01247 | Crane Operator | 2000-03-13 ~ 2002-03-12 |
| Bimal R Patel | North Adams Regional Hosital, North Adams, MA 01247 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| David L Johnson | 29 Owens Avenue, North Adams, MA 01247 | Nursing Home Administrator | 2011-02-01 ~ 2013-01-31 |
| Michael Towler | 432 Church Street, North Adams, MA 01247 | Backflow Prevention Device Tester | 2004-10-01 ~ 2007-09-30 |
| Kenneth J Bushika | 345 Houghton St, North Adams, MA 01247 | Limited Sheet Metal Journeyperson | 2010-09-22 ~ 2011-08-31 |
| Find all Licenses in zip 01247 | |||
| City | NORTH ADAMS |
| Zip Code | 01247 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORTH ADAMS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert D Davis Dpm | 2409 Main St, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| W Bradley Davis Dvm | Davis Companion Animal Hospital, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ben Shneider Md | 64 Davis Dr, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 1997-03-04 ~ 1998-02-28 |
| Amanda J Maki Pa-c | 19 Davis Ave # A, Vernon, CT 06066-3101 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| April Davis | 24 Shunpike Rd., Durham, CT 06422 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cecilia A Davis | 142 Everit St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kevin A Davis | 30 Park Ter E Apt 5a, New York, NY 10034-1535 | Controlled Substance Registration for Practitioner | 2009-09-03 ~ 2011-02-28 |
| Kelly Davis | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Courtney L. Davis | 500 Mill St Apt 4, Southington, CT 06489-4740 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen L Davis | 31 Seymour St, Hartford, CT 06032-1920 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ROBERT DAVIS.
| 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).