E BENJAMIN GARDNER (Credential# 213711) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
E BENJAMIN GARDNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028402. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 43 Caleb Dyer Ln, Enfield, NH 03748-3551. The current status is lapsed.
| Licensee Name | E BENJAMIN GARDNER |
| Credential ID | 213711 |
| Credential Number | CSP.0028402 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
43 Caleb Dyer Ln Enfield NH 03748-3551 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 1999-06-16 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555324 | 1.037734 | Physician/Surgeon | 1999-05-07 | 2016-08-01 - 2017-07-31 | INACTIVE |
| Street Address | 43 CALEB DYER LN |
| City | ENFIELD |
| State | NH |
| Zip Code | 03748-3551 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura M Zitnik | 20 Main Street, Enfield, NH 03748 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Denise M Mcgrath | 17 Boulder Trail, Enfield, NH 03748 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Xenotherapeutics Corp | 9 Sunset Walk, Enfield, NH 03748 | Securities - Exemptions | 2020-03-11 ~ |
| William D Beattie | 21nh Route 4a, Enfield, NH 03748 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Matthew Cavarnos | 464 Boys Camp Road, Enfield, NH 03748 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Amanda Fay | 43 Marsten Lane Unit #182, Enfield, NH 03748 | Registered Nurse - Temporary | 2019-06-08 ~ 2019-10-06 |
| Jacob Ariel Herrstain | 52 Shedd St, Enfield, NH 03748 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Melissa M Ball | 121 Lockehaven Road, Enfield, NH 03748 | Registered Nurse | 2017-07-01 ~ 2018-06-30 |
| Drummond Construction Inc | 93 Chosen Vale Lane, Enfield, NH 03748 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Dana Robes Wood Craftsmen Inc | Route 4a Lower Shaker Village, Enfield, VT 03748 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| Find all Licenses in zip 03748 | |||
| City | ENFIELD |
| Zip Code | 03748 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy L Gardner | 150 Union St Apt 606, Providence, RI 02903-1795 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Michael Wieder | 1 Cross St, Gardner, MA 01440-2213 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Yanghee Kwon | 14 Main St Apt 3b, Gardner, MA 01440-2650 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Susan L Donnelly Pac | 449 Gardner St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah K Abbettt | 168 Gardner Rd, Brookline, MA 02445-4560 | Controlled Substance Registration for Practitioner | ~ |
| Peter W Gardner | 92 Jordan Ln, Stamford, CT 06903-3914 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joanne Gardner Ms | 27 Marboy Dr, Plantsville, CT 06479-1517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah K Abbett | 168 Gardner Rd, Brookline, MA 02445-4560 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Elizabeth C Gardner | 446 Humphrey St, New Haven, CT 06511-3710 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tina K Mcgillicuddy Aprn | 30 Gardner Rd Apt 6f, Brookline, MA 02445-4555 | 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).