CLAIRE G FAGAN (Credential# 1365117) 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.
CLAIRE G FAGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063451. 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 7 Cardinal Rd., Simsbury, CT 06070. The current status is active.
| Licensee Name | CLAIRE G FAGAN |
| Credential ID | 1365117 |
| Credential Number | CSP.0063451 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7 Cardinal Rd. Simsbury CT 06070 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1354689 | 2.011633 | Dentist | 2016-06-17 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1273394 | PTN.0017492 | PHARMACY TECHNICIAN | 2015-03-20 | 2015-03-20 - 2016-03-31 | INACTIVE |
| Street Address | 7 Cardinal Rd. |
| City | Simsbury |
| State | CT |
| Zip Code | 06070 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
| Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
| Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06070 | |||
| City | Simsbury |
| Zip Code | 06070 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Simsbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda N Fagan Md | 24 Independence Dr, Basking Ridge, NJ 07920 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tara T S Fagan | 7 Partridge Hollow Rd, Killingworth, CT 06419-1025 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Claire Li | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Hung Nguyen | 315 Riverfront Ter Apt 104, Eau Claire, WI 54703 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Claire S Kaufman | 198 Edwards St Apt 4, New Haven, CT 06511-3702 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Claire M Warren Md | 45 Boulder Ave, Stonington, CT 06378 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Claire L Hardin | 95 Howard Ave Apt 1, New Haven, CT 06519-2810 | Controlled Substance Registration for Practitioner | 2017-02-03 ~ 2019-02-28 |
| Claire M Mccutcheon | 55 Midland Ave, Stamford, CT 06906-2324 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dennis Claire Dpm | 341 Montauk Ave, New London, CT 06320-4735 | Controlled Substance Registration for Practitioner | 2011-07-25 ~ 2013-02-28 |
| Claire Verdier | 99 Warren Ave, Mystic, CT 06355-2135 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CLAIRE G FAGAN.
| 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).