ALFRED K HICKS (Credential# 1297459) 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.
ALFRED K HICKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060847. 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 148 Tulip Tree Dr, Guilford, CT 06437-4722. The current status is active.
Licensee Name | ALFRED K HICKS |
Credential ID | 1297459 |
Credential Number | CSP.0060847 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
148 Tulip Tree Dr Guilford CT 06437-4722 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-07-01 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1276426 | 1.054330-DO | Physician/Surgeon | 2015-06-30 | 2019-12-01 - 2020-11-30 | ACTIVE |
Street Address | 148 TULIP TREE DR |
City | GUILFORD |
State | CT |
Zip Code | 06437-4722 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Find all Licenses in zip 06437 |
City | GUILFORD |
Zip Code | 06437 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GUILFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert E Hicks Md | 61 Bradley St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
Elizabeth Hicks Mcavoy | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Daniel Hicks | 1192 Park Ave, New York, NY 10128-1314 | Controlled Substance Registration for Practitioner | ~ |
Erin H Gillen | 187 Hicks Hill Rd, Stanfordville, NY 12581-6212 | Controlled Substance Registration for Practitioner | 2018-12-19 ~ 2021-02-28 |
Christopher R Hicks | 67 Sandpiper Cres, Milford, CT 06460-7952 | Controlled Substance Registration for Practitioner | 2017-02-01 ~ 2019-02-28 |
Lauri A Hicks Do | 1600 Clifton Rd Ms C-23, Atlanta, GA 30333 | Controlled Substance Registration for Practitioner | 2008-02-28 ~ 2009-02-28 |
Kathryn F Hicks | 108 Candlewood Lake Rd N, New Milford, CT 06776-3206 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rebecca M Hicks Md | 266 Willow Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
James W Hicks | 705 City Park Avenue, Columbus, OH 43206 | Controlled Substance Registration for Practitioner | 1994-09-15 ~ 1996-10-01 |
Margy E Mccullough-hicks | 360 State St Apt 2805, New Haven, CT 06510-3628 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).