DEREK R SMITH (Credential# 405699) 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.
DEREK R SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037527. 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 One Towne Park Plaza, Norwich, CT 06360. The current status is active.
| Licensee Name | DEREK R SMITH |
| Credential ID | 405699 |
| Credential Number | CSP.0037527 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
One Towne Park Plaza Norwich CT 06360 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-05-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560972 | 1.043390 | Physician/Surgeon | 2005-05-03 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | ONE TOWNE PARK PLAZA |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hanna Kackielo Md | One Towne Park Plaza, Norwich, CT 06360 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David L Tinklepaugh | One Towne Park Plaza, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Camille G Salame Md | One Towne Park Plaza, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William A Wainright Md | One Towne Park Plaza, Norwich, CT 06360 | Physician/surgeon | 2006-05-26 ~ 2007-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NORWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derek Y. Obayashi | 282 Washington St Ste 2b, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Derek R Corporon | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-06-18 ~ 2021-02-28 |
| Derek S. Shia | 9 Washington Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek H Cheng | 266 Seymour Ave, Derby, CT 06418-1332 | Controlled Substance Registration for Practitioner | 2013-06-27 ~ 2015-02-28 |
| Derek T Nguyen | 6 Rock Road, Burlington, CT 06013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek A Sanders | 185 Florence St, West Hartford, CT 06110 | Controlled Substance Registration for Practitioner | 2006-07-31 ~ 2007-02-28 |
| Derek L Isenberg Md | 464 Congress Ave., Suite 260, New Haven, CT 06517 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Derek B Rosner | 26 Gin Still Lane, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Derek William Donovan | 484 Middletown Rd, Colchester, CT 06415-2230 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek M Biederman Md | 2800 Main Street, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on DEREK R SMITH.
| 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).