FRESENIUS MED CARE DIALYSIS SVC FORESTVILLE (Credential# 300226) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
FRESENIUS MED CARE DIALYSIS SVC FORESTVILLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0031825. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 135 Middle St, Bristol, CT 06010. The current status is inactive.
| Licensee Name | FRESENIUS MED CARE DIALYSIS SVC FORESTVILLE |
| Business Name | FRESENIUS MED CARE DIALYSIS SVC FORESTVILLE |
| Doing Business As | SUSAN E. HALLEY, M.D. |
| Credential ID | 300226 |
| Credential Number | CSP.0031825 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
135 Middle St Bristol CT 06010 |
| Business Type | BUSINESS |
| Status | INACTIVE |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| Street Address | 135 MIDDLE ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fmc Dialysis Services Forestville | 135 Middle St, Bristol, CT 06010-8400 | Hemodialysis | 2020-01-01 ~ 2021-12-31 |
| Susanne W Graubaum | 135 Middle St, Bristol, CT 06010-8400 | Dietitian/nutritionist | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fmc Dialysis Services Forestville | 135 Middle St, Bristol, CT 06010-8400 | Hemodialysis | 2020-01-01 ~ 2021-12-31 |
| Fresenius Usa D/b/a Fresenius Medical Care North America | 4040 Nelson Ave, Concord, CA 94520-1200 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Fresenius Usa Manufacturing Inc · Fresenius Medical Care North America | 549 Sand Sage Rd Nw, Los Lunas, NM 87031-4852 | Nonresident Pharmacy | 2013-09-01 ~ 2014-08-31 |
| Fresenius Usa Manufacturing Inc. · Fresenius Medical Care North America | 2865 Dave Lyle Blvd Ste 101, Rock Hill, SC 29730-7092 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Comprehensive Dialysis Care, LLC | 61 Pomeroy Ave, Meriden, CT 06450-7101 | Hemodialysis | 2019-04-01 ~ 2021-03-31 |
| Fresenius Usa Manufacturing Inc · Fresenius Medical Care North America | 360 Cedar Hill St Ste 2a, Marlborough, MA 01752-3036 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Fresenius Usa Manufacturing Inc · Fresenius Medical Care North America | 69 Tetz Rd Ste 2b, Chester, NY 10918-1829 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Fresenius Usa Manufacturing Inc · Fresenius Medical Care North America | 371 S Royal Ln, Dfw Airport, TX 75261-4526 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Fresenius Usa Manufacturing Inc · Fresenius Medical Care North America | 2865 Dave Lyle Blvd, Rock Hill, SC 29730-7092 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Wallingford Dialysis Care, LLC | 720 N Main Street Ext Ste 3, Wallingford, CT 06492-2417 | Hemodialysis | 2019-10-01 ~ 2021-09-30 |
Please comment or provide details below to improve the information on FRESENIUS MED CARE DIALYSIS SVC FORESTVILLE.
| 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).