SPENCER J CROSS (Credential# 1352311) 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 INACTIVE.
SPENCER J CROSS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062620. 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 255 S Theresa Terrace Dr, Post Falls, ID 83854-4751. The current status is inactive.
| Licensee Name | SPENCER J CROSS |
| Credential ID | 1352311 |
| Credential Number | CSP.0062620 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
255 S Theresa Terrace Dr Post Falls ID 83854-4751 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2016-07-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488411 | 1.057806-RES | Resident Physician | 2016-07-01 | 2016-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 255 S THERESA TERRACE DR |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-4751 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dorothy A Clock | 707 South Riverside Harbor Drive, Post Falls, ID 83854 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
| Jewel A Key | 4866 E 16th Ave #2, Post Falls, ID 83854 | Registered Nurse | 2016-09-01 ~ 2017-08-31 |
| Margaret A Lyons | 211 West 22nd Ave, Post Falls, ID 83854 | Dental Hygienist | 1995-09-11 ~ 1996-09-30 |
| Joseph V Perrotta | 3539 East Second Avenue, Apt. #23, Post Falls, ID 83854 | Physician/surgeon | 2000-01-31 ~ 2001-03-31 |
| Kerstin F Rigi · Emerald Realty Inc | 12405 W Hayden Ave, Post Falls, ID 83854-6084 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
| Bonnie S Wilson | 419 N Brushwood Ct, Post Falls, ID 83854-6764 | Advanced Practice Registered Nurse | 2015-02-01 ~ 2016-01-31 |
| Anya Leigh Huska | 452 E 14th Ave, Post Falls, ID 83854-7633 | Pharmacy Technician | 2020-01-24 ~ 2021-03-31 |
| Ysabel E Chuvala | 1906 E. Sundance Drive, Post Falls, ID 83854-9534 | Registered Nurse | 2006-07-10 ~ 2007-07-31 |
| City | POST FALLS |
| Zip Code | 83854 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + POST FALLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Spencer W Rogers | 48 Cleveland Rd, New Haven, CT 06515-2707 | Controlled Substance Registration for Practitioner | 2011-04-20 ~ 2013-02-28 |
| Natasha A Spencer Md | 247 Davis St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey S Spencer Md | 672 Stoneleigh Ave., Carmel, NY 10512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel F Reilly Jr. | 21 Spencer Dr, Windsor, CT 06095-2433 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Teresa K Spencer | 26 Homestead Ave, Derby, CT 06418-2516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amor C Lomibao | 115 Spencer St, Winsted, CT 06098-1140 | Controlled Substance Registration for Practitioner | 2020-05-21 ~ 2021-02-28 |
| Richard M Shoup Md | 112 Spencer St, Manchester, CT 06040-4601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohammad S Khera | 115 Spencer St Ste 3, Winsted, CT 06098-1141 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roy E Hitt Jr Md | 115 Spencer Street, Winsted, CT 06098-1194 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey V Spencer Md | 820 Bestgate Rd Ste 2c, Annapolis, MD 21401-3404 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on SPENCER J CROSS.
| 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).