ERIC B NEADEL PA (Credential# 406857) 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.
ERIC B NEADEL PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037575. 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 12 Academy St # 5, New Haven, CT 06511-6973. The current status is active.
| Licensee Name | ERIC B NEADEL PA |
| Credential ID | 406857 |
| Credential Number | CSP.0037575 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12 Academy St # 5 New Haven CT 06511-6973 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-06-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 743383 | 23.001634 | Physician Assistant | 2005-06-14 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 12 ACADEMY ST # 5 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-6973 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Rice Treseder | 12 Academy St Apt 2a, New Haven, CT 06511-6973 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eleanor A Knopp | 12 Academy St Apt 3b, New Haven, CT 06511-6973 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Bhaskar Srivastava | 12 Academy St Apt 2a, New Haven, CT 06511-6973 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Fan Md | 200 Orchard St Ste 303, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric J Balaguer Md | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Eric Lin | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric R Scott | 650 Mix Ave Apt 5a, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Eric Lao | 8 Sea Island, Glastonbury, CT 06033-1476 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric Levy Md | 15 Valley Dr, Greenwich, CT 06831-5205 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Eric R. Arzubi Md | 4 Gonczy Rd, Westport, CT 06880-5102 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Eric Berard | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Eric M Owen | 46 Hammer Way, Greensburg, PA 15601-2231 | Controlled Substance Registration for Practitioner | 2011-01-24 ~ 2013-02-28 |
| Eric R Pofcher Md | 94 Woolworth St, Longmeadow, MA 01106 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
Please comment or provide details below to improve the information on ERIC B NEADEL PA.
| 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).