DREW J EDWARDS (Credential# 550446) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
DREW J EDWARDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032846. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 115 Waterbury Rd, Prospect, CT 06712-1254. The current status is active.
Licensee Name | DREW J EDWARDS |
Credential ID | 550446 |
Credential Number | 1.032846 |
Credential Type | Physician/Surgeon |
Business Address |
115 Waterbury Rd Prospect CT 06712-1254 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1993-03-26 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
163280 | CSP.0021097 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 115 WATERBURY RD |
City | PROSPECT |
State | CT |
Zip Code | 06712-1254 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Family Options, Inc. | 115 Waterbury Rd Ste 1, Prospect, CT 06712-1254 | Public Charity-exempt From Financial Requirements | 2019-12-11 ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julie B Vinci | 5 Hickory Dr, Prospect, CT 06712 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Brian J Gomez | 11 Klein Drive, Prospect, CT 06712 | Community Health Worker | ~ |
Robin M Sills | 11 Hickory Drive, Prospect, CT 06712 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Erica L Boisvert | 30 Putting Green Lane, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mercury Fuel Service Inc · Mercury #24 Prospect | 68 Waterbury Prospect Rd, Prospect, CT 06712 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Michael F Lynch | 27 Luke Street, Prospect, CT 06712 | Distribution System Operator - Class IIi | 2020-04-01 ~ 2023-03-31 |
Michelle K Bathgate | 23 Nancy Mae Avenue, Prospect, CT 06712 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Czarina V Gillette | 7 Juggernaut Road, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Karli R Griffin | 62 Royal Crest Drive, Prospect, CT 06712 | Real Estate Salesperson | ~ |
Jacob Frank Howson | 50 Sherwood Drive, Prospect, CT 06712 | Emergency Medical Responder | ~ |
Find all Licenses in zip 06712 |
City | PROSPECT |
Zip Code | 06712 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PROSPECT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Drew K Siegel | 205 Brighton Dr, Elon, NC 27244-8306 | Physician/surgeon | 2009-10-01 ~ 2010-09-22 |
Shannon Drew Md | 291 Whitney Ave Ste 303, New Haven, CT 06511-3764 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Drew Thomas Carlton | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
Drew A Stein | 36 W 44th St Ste 401, New York, NY 10036-8107 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Wendy Drew Ellis | P. O. Box 660070, Birmingham, AL 35266 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Jack M Drew | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | ~ |
Drew Clifford Hunter | 22 Llanfair Rd Unit 6, Ardmore, PA 19003-2320 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
Drew A Olsen | 4 Cross Creek Lane, Stony Point, NY 10980 | Physician/surgeon | 2002-04-03 ~ 2002-12-31 |
Drew Edwards | 460 Capitol Avenue, Hartford, CT 06106 | Medication Administration Certification | 2018-04-06 ~ 2020-04-05 |
Gwendolyn Grant Md | 197 Edwards St, New Haven, CT 06511 | Physician/surgeon | 2006-01-10 ~ 2006-12-31 |
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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).