KERRIAN HUDSON (Credential# 1123702) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.
KERRIAN HUDSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051502. The credential type is physician/surgeon. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 28 Crescent St, Middletown, CT 06457. The current status is inactive.
| Licensee Name | KERRIAN HUDSON |
| Credential ID | 1123702 |
| Credential Number | 1.051502 |
| Credential Type | Physician/Surgeon |
| Business Address |
28 Crescent St Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-11-28 |
| Effective Date | 2014-08-01 |
| Expiration Date | 2015-07-31 |
| Refresh Date | 2015-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 537901 | CSP.0045962 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-07-31 | 2013-06-06 - 2015-02-28 | INACTIVE |
| 1167846 | CSP.0054849 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | PENDING |
| Street Address | 28 Crescent St |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark R Jonker | 28 Crescent St, Middletown, CT 06457 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| William H Zeidler Jr Md | 28 Crescent St, Middletown, CT 06457-3654 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Middlesex Hospital | 28 Crescent St, Middletown, CT 06457 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Kristine Doyle | 28 Crescent St, Middletown, CT 06457-3654 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Amy Marie Douglass | 28 Crescent St, Middletown, CT 06457-3654 | Controlled Substance Registration for Practitioner | 2019-06-07 ~ 2021-02-28 |
| Komal Sharma | 28 Crescent St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cortney Katz | 28 Crescent St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ying Zheng Pa | 28 Crescent St, Middletown, CT 06457-3654 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ruxandra Pascanu | 28 Crescent St, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cathy Zack | 28 Crescent St, Middletown, CT 06457-3654 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chris Joseph Schettino | 5655 Hudson Dr Ste 210, Hudson, OH 44236-4455 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stephanie B Cohen | 163 Hudson Street, Cornwall On Hudson, NY 12520 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Robert Berger | 5655 Hudson Drive, Hudson, OH 44236 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Michael E Katz | 5655 Hudson Drive, Hudson, OH 44236 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Winston Dacosta Irving | 5655 Hudson Dr Ste 210, Hudson, OH 44236-4455 | Physician/surgeon | 2020-03-20 ~ 2020-10-31 |
| Laura Ann Hogan | 5655 Hudson Drive, Hudson, OH 44236 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Randy Adam Sag | 5655 Hudson Drive, Hudson, VA 44236 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Mary K Greene | 5655 Hudson Dr Ste 210, Hudson, OH 44236-4455 | Physician/surgeon | 2013-11-01 ~ 2014-10-31 |
| Wendell D Hatch | 5655 Hudson Dr Ste 210, Hudson, OH 44236-4455 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Mark F Brodie | 5655 Hudson Dr Ste 210, Hudson, OH 44236-4455 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
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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).