GRANT J BAILEY (Credential# 951754) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
GRANT J BAILEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0048702. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 764 Quinnipiac Ave, New Haven, CT 06513. The current status is inactive.
| Licensee Name | GRANT J BAILEY |
| Credential ID | 951754 |
| Credential Number | CSP.0048702 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
764 Quinnipiac Ave New Haven CT 06513 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2010-09-30 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1192999 | 1.053091 | Physician/Surgeon | 2014-06-02 | 2015-07-01 - 2016-06-30 | INACTIVE |
| Street Address | 764 Quinnipiac Ave |
| City | New Haven |
| State | CT |
| Zip Code | 06513 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Polhemus | 764 Quinnipiac Ave, New Haven, CT 06513 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Chelsea Mignon Amburgey | 764 Quinnipiac Ave, New Haven, CT 06513 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Sabrina N Pavri | 764 Quinnipiac Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Odalys Guartan | 17 Dell Dr, East Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Marilu E Espinsa | 148 Poplar St, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Javon Christian Woodard | 404 Poplar St, New Haven, CT 06513 | Registered Nurse | ~ |
| Norma Congacha | 22 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-05-31 |
| Sonia Sunanita Salazar | 48 Wolcott St 1 L., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Rosa Zuna | 426 Ferry St. 1st Fl, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Veronica Congacha | 28 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jessica L Vallejo | 41 Oak Ridge Dr, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Ami Nosenzo · Nosenzo | 1423 Quinnipiac Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Taquetta Delis Mitchell | 40 Foxon Hill Rd I34, New Haven, CT 06513 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06513 | |||
| City | New Haven |
| Zip Code | 06513 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lara T Bailey | 75 Lancaster Dr, Windsor, CT 06095-1467 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith A Bailey | 726 New Haven Rd, Durham, CT 06422-2408 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert Bailey Dds | 35 Pleasant St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2001-02-01 ~ 2001-02-28 |
| Janet M Bailey Aprn | Po Box 384, Silverton, OR 97381 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Vanessa D Bailey | 297 Judwin Ave, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mitesh Brahmbhatt | 53 Bailey Dr, Westfield, MA 01085-5335 | Controlled Substance Registration for Practitioner | 2020-02-27 ~ 2021-02-28 |
| Rahn K Bailey | 333 Christian St, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 1994-08-16 ~ 1996-07-01 |
| Kolene E Bailey | 764 Quinnipiac Ave Apt 3, New Haven, CT 06513-3301 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Danielle Hellthaler | 4 Bailey St, Trumbull, CT 06611-4302 | Controlled Substance Registration for Practitioner | 2019-08-01 ~ 2021-02-28 |
| Bailey Fitzgerald | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GRANT J BAILEY.
| 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).