FAN LAB AT UCONN HEALTH (Credential# 2006595) is licensed (Controlled Substance Laboratory) with Connecticut Department of Consumer Protection. The license status is PENDING.
FAN LAB AT UCONN HEALTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSL.0001290. The credential type is controlled substance laboratory. The business address is 263 Farmington Ave Rm L-3056, Farmington, CT 06030-0001. The current status is pending.
Licensee Name | FAN LAB AT UCONN HEALTH |
Business Name | FAN LAB AT UCONN HEALTH |
Credential ID | 2006595 |
Credential Number | CSL.0001290 |
Credential Type | CONTROLLED SUBSTANCE LABORATORY |
Business Address |
263 Farmington Ave Rm L-3056 Farmington CT 06030-0001 |
Business Type | BUSINESS |
Status | PENDING - INSPECTION DUE |
Refresh Date | 2020-02-10 |
Street Address | 263 FARMINGTON AVE RM L-3056 |
City | FARMINGTON |
State | CT |
Zip Code | 06030-0001 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
Find all Licenses in zip 06030-0001 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 06030 |
City | FARMINGTON |
Zip Code | 06030 |
License Type | CONTROLLED SUBSTANCE LABORATORY |
License Type + County | CONTROLLED SUBSTANCE LABORATORY + FARMINGTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Uconn Health Center · Gary Gollan | Uconn School of Medicine/ess, Farmington, CT 06030-1830 | Controlled Substance Laboratory | 2002-02-01 ~ 2003-01-31 |
Uconn Health Center · Patricia T Pisciotto Md | Dept of Laboratory Medicine Mc-2225, Farmington, CT 06030-2225 | Controlled Substance Laboratory | 2001-02-01 ~ 2002-01-31 |
Uconn Health Center · Alexander G. Richter, D.v.m. | Laboratory Animal Care, Farmington, CT 06030 | Controlled Substance Laboratory | 2002-05-24 ~ 2003-01-31 |
Uconn Health Center · F William Sunderman Jr Md | Dept of Laboratory Medicine, Farmington, CT 06030 | Controlled Substance Laboratory | 1997-02-01 ~ 1999-01-31 |
Uconn Health Center · Paul Kramer Phd | Dept of Pharmacy Mc2205, Farmington, CT 06030 | Controlled Substance Laboratory | 1998-02-01 ~ 1999-01-31 |
Uconn Health Center · Prof Dale Greiner Md | Dept of Pathology, Farmington, CT 06030 | Controlled Substance Laboratory | 1995-02-24 ~ 1996-01-31 |
Uconn Health Center · Chi-kuang Huang | Dept of Pathology Mc3105, Farmington, CT 06030 | Controlled Substance Laboratory | 1999-02-01 ~ 2000-01-31 |
Uconn Health Center | Dept of Rest Dent/endodtology Mc-1715, Farmington, CT 06030 | Controlled Substance Laboratory | 2006-02-01 ~ 2007-01-31 |
Uconn Health Center · Robert B Duckrow Md | Dept of Neurology Amd28, Farmington, CT 06030 | Controlled Substance Laboratory | 1999-02-01 ~ 2000-01-31 |
Uconn Health Center · Marvin L Tanzer Md | Biostructure & Function Mc3705, Farmington, CT 06030 | Controlled Substance Laboratory | 1998-02-01 ~ 1999-01-31 |
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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).