HENRY P CHICAIZA (Credential# 1144824) 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.
HENRY P CHICAIZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054125. 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 11 Quail Run Rd, Suffield, CT 06078-1802. The current status is active.
Licensee Name | HENRY P CHICAIZA |
Credential ID | 1144824 |
Credential Number | CSP.0054125 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
11 Quail Run Rd Suffield CT 06078-1802 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-01-15 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1134501 | 1.051556 | Physician/Surgeon | 2012-12-24 | 2019-09-01 - 2020-08-31 | ACTIVE |
1024529 | CSP.0050869 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-08-10 | 2011-08-10 - 2013-02-28 | INACTIVE |
Street Address | 11 QUAIL RUN RD |
City | SUFFIELD |
State | CT |
Zip Code | 06078-1802 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kristen L Fidalgo | 91 Quail Run Rd, Suffield, CT 06078-1802 | Pharmacy Technician | 2008-05-19 ~ 2009-03-31 |
Joseph F Browne Iv | 21 Quail Run Rd, Suffield, CT 06078-1802 | Embalmer Pre-graduate Trainee | 2015-07-15 ~ 2015-10-15 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jun Jiang | 46 Cedar Crest Ln., Suffield, CT 06078 | Perfusionist | 2020-07-01 ~ 2021-06-30 |
Lynne M Vallides | 600 Thompsonville Road, Suffield, CT 06078 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Francesco M Antelmi | 41 Diane Lane, Suffield, CT 06078 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Young Ran Won | 875 Overhill Dr., Suffield, CT 06078 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Burl R Sindler | 58 Austin Street, Suffield, CT 06078 | Hearing Instrument Specialist | 2020-08-01 ~ 2022-07-31 |
Nasser M Saleh | 1257 South Street, Suffield, CT 06078 | Real Estate Salesperson | ~ |
Praxair Inc | Ucar Street, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Babylon LLC | 1221 Harvey Ln, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Suffield Hardware | 63 Mountain Rd, Suffield, CT 06078 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Donald R Ledoux | 675 East St. North, Suffield, CT 06078 | Chiropractor | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06078 |
City | SUFFIELD |
Zip Code | 06078 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SUFFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Henry B C Low Md | 85 Seymour St Ste 919, Hartford, CT 06106-5528 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dan A Henry | 115 Orchard Rd, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Henry Danziger | 297 Church St, Naugatuck, CT 06770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Henry L Vladyka Pa | 56 Connery Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Henry Lee | 96 Belridge Road, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2013-03-15 ~ 2015-02-28 |
Henry F Crabbe Md | 5 Shaws Cv Ste 207, New London, CT 06320-4974 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Henry S Park | 52 Churchill Rd, Hamden, CT 06517-1414 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Henry W Juan Jr | 14 Lafayette Ct, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Henry Chow | 40 Prospect Ave, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2015-07-02 ~ 2017-02-28 |
Henry A Sellner Md | 4 Navahu Dr, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).