GRETCHEN B CRIST MD (Credential# 477029) 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.
GRETCHEN B CRIST MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041925. 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 183 Cherry St, New Canaan, CT 06840-4820. The current status is active.
| Licensee Name | GRETCHEN B CRIST MD |
| Credential ID | 477029 |
| Credential Number | CSP.0041925 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
183 Cherry St New Canaan CT 06840-4820 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-07-20 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557880 | 1.040297 | Physician/Surgeon | 2002-04-02 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 308945 | CSP.0032092 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 183 CHERRY ST |
| City | NEW CANAAN |
| State | CT |
| Zip Code | 06840-4820 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rosemary E Klenk | 183 Cherry St, New Canaan, CT 06840 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jason M Davis Md | 183 Cherry St, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dori A Anchin Md | 183 Cherry St, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Michael E Gabriel Md | 183 Cherry St, New Canaan, CT 06840 | Physician/surgeon | 2003-07-14 ~ 2004-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 49 Midwood LLC | 97 Dans Hwy, New Canaan, CT 06840 | New Home Construction Contractor | 2020-06-26 ~ 2021-09-30 |
| Hyun Park | 15 Locust Ave, New Canaan, CT 06840 | Esthetician | 2020-06-26 ~ 2022-04-30 |
| Guy R Mazzola | 1484 Oenoke Ridge, New Canaan, CT 06840 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Mairin E Mara | 184 Lukes Wood Rd, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Hannah Simpson | 33 Sleepy Hollow Road, New Canaan, CT 06840 | Esthetician | ~ |
| Susan Mcclellan Valk | 301 Oenoke Ridge Road, New Canaan, CT 06840 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| New Canaan Gulf · Haviland Ent Ltd Dba | 36 South Ave, New Canaan, CT 06840 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Claire Cheng | 226 Buttery Road, New Canaan, CT 06840 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Joes Pizza | 23 Locust Avenue, New Canaan, CT 06840 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathleen Mary Berchelmann | 711 Silvermine Rd, New Canaan, Ct, CT 06840 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06840 | |||
| City | NEW CANAAN |
| Zip Code | 06840 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW CANAAN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gretchen Kreizenbeck | 28 Abbott Ave, Ridgefield, CT 06877-4407 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gretchen E Loebel Md | 31 Chmura Rd, Hadley, MA 01035 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Gretchen Wetzel Lnm | 108 Steele Rd, W Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 1993-10-28 ~ 1995-05-01 |
| Gretchen L Allen Md | 5 Harvest Ln, West Hartford, CT 06117-3025 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gretchen E Singletary | 101 Summer St Unit 713, Stamford, CT 06901-2328 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gretchen E Green | 381 Vineyard Point Rd, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Gretchen A Norman Aprn | 1063 Oyster Bay Dr, Cincinnati, OH 45255 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Gretchen K Berland | Yale Primary Care Center, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gretchen T Michaelson Aprn | 185 Pierce Road, South Windsor, CT 06074 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
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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).