JEFFREY ADAM BASH (Credential# 232643) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JEFFREY ADAM BASH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029361. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780. The current status is active.
| Licensee Name | JEFFREY ADAM BASH |
| Credential ID | 232643 |
| Credential Number | CSP.0029361 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
410 Saybrook Rd Ste 100 Middletown CT 06457-4780 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-03-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 556057 | 1.038467 | Physician/Surgeon | 2000-03-07 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 410 SAYBROOK RD STE 100 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4780 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David J Hergan Md | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie Porto Schmidt | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joseph M Sohn Md | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Abigail M Haddad | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | Controlled Substance Registration for Practitioner | 2019-04-10 ~ 2021-02-28 |
| Thomas Gorsky Pa | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michele A Holzinger | 410 Saybrook Rd Ste 110, Middletown, CT 06457-4780 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ammar Bash Dmd | 505 Plantation St #414, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Adam Y Hsu Md | 500 Bedford St Apt 220, Stamford, CT 06901-1508 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Adam D Corrado Md | Po Box 37, Farmington, CT 06034-0037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam R Weinstein | 36 Belmont St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Adam A Wright | 424 Massachusetts Ave Apt 502, Boston, MA 02118-3531 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Adam Abel | 400 E 71st St Apt 10a, New York, NY 10021-4813 | Controlled Substance Registration for Practitioner | 2017-11-01 ~ 2019-02-28 |
| Adam M Goldstein Md | 1 Herald Sq, New Britain, CT 06051-5006 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam R Teixeira | 307 Conestoga St, Windsor, CT 06095-2205 | Controlled Substance Registration for Practitioner | 2013-07-29 ~ 2015-02-28 |
| Adam Q Ferguson | 863 N Main St Ext, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adam Cohn Pa-c | 745 Orange St Apt 203, New Haven, CT 06511-2549 | Controlled Substance Registration for Practitioner | 2009-03-04 ~ 2011-02-28 |
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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).