DAVID D HENDERSON (Credential# 1121600) 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.
DAVID D HENDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053665. 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 1080a Chamberlain Hill Rd, Middletown, CT 06457-5564. The current status is inactive.
| Licensee Name | DAVID D HENDERSON |
| Credential ID | 1121600 |
| Credential Number | CSP.0053665 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1080a Chamberlain Hill Rd Middletown CT 06457-5564 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-09-10 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1081708 | 1.051181 | Physician/Surgeon | 2012-07-12 | 2015-05-01 - 2016-04-30 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David D Henderson | 135 Town St, East Haddam, CT 06423-1458 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Street Address | 1080A CHAMBERLAIN HILL RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-5564 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Creative Contours LLC | 1080 Chamberlain Hill Rd, Middletown, CT 06457-5564 | Home Improvement Contractor | 2019-02-15 ~ 2019-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee W Henderson Md | Po Box 37, South Kent, CT 06785 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Sharon Henderson Od | Lenscrafters, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pamela R Henderson | 299 Carew St Ste 400, Springfield, MA 01104-2361 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brooke F Henderson Pa-c | 24 Ash Dr, Gales Ferry, CT 06335-1702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hilliard Spitz Md | 17 Henderson Rd, New London, CT 06320 | Controlled Substance Registration for Practitioner | 1993-01-06 ~ 1995-02-01 |
| Wenting Hou Aprn | 20 Henderson Dr., Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2011-05-05 ~ 2013-02-28 |
| Nikole J Henderson Pa-c | 38 Gallup Ln, Waterford, CT 06385-2242 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maryellen C Silva Aprn | 141 Henderson Rd, Fairfield, CT 06824-4940 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca Gagne Henderson | 360 W Rock Ave, New Haven, CT 06515-2106 | Controlled Substance Registration for Practitioner | 2020-05-14 ~ 2021-02-28 |
| Shasta E Henderson | 6 Barnett Street, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on DAVID D HENDERSON.
| 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).