RYAN M FREDERICKS (Credential# 1233580) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
RYAN M FREDERICKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057963. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 282 Willow St Fl 2, New Haven, CT 06511-2426. The current status is lapsed.
| Licensee Name | RYAN M FREDERICKS |
| Credential ID | 1233580 |
| Credential Number | CSP.0057963 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
282 Willow St Fl 2 New Haven CT 06511-2426 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2014-07-11 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| Street Address | 282 WILLOW ST FL 2 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2426 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca A Miller | 262 Willow St, New Haven, CT 06511-2426 | Psychologist | 2020-04-01 ~ 2021-03-31 |
| Emily Seck | 266 Willow St Apt 2, New Haven, CT 06511-2426 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Elizabeth C Davis | 282 Willow St Apt 2, New Haven, CT 06511-2426 | Psychologist | 2019-09-01 ~ 2020-08-31 |
| Allison K Comick | 282 Willow St, New Haven, CT 06511-2426 | Registered Nurse | 2016-09-01 ~ 2017-08-31 |
| Kyle A Williams | 266 Willow St # 2, New Haven, CT 06511-2426 | Controlled Substance Registration for Practitioner | 2013-06-12 ~ 2015-02-28 |
| Stephanie R Goodman | 270 Willow St Fl 3, New Haven, CT 06511-2426 | Registered Nurse | 2012-08-23 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David J Fredericks | 1 Aspetuck Ave, New Milford, CT 06776-2842 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles E Fredericks | 145 Old Twn Farm Rd, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Carolyn A Fredericks | 15 York Street, Lci 710, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
| Ryan S Lee | 31 Bay Dr, Canton, MA 02021-4181 | Controlled Substance Registration for Practitioner | 2020-01-21 ~ 2021-02-28 |
| Amy Haydon-ryan Pa | Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ryan R Campbell | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Craig Ryan | 867 Pomfret Rd, Hampton, CT 06247-1217 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ryan Reinken | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | ~ |
| Ryan P Pavlovich Md | 500 Prospect St#3c, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| David J Ryan | 11 Essex Ct, Avon, CT 06001-4572 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on RYAN M FREDERICKS.
| 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).