BENJAMIN JAMES ANDERSON (Credential# 1367080) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
BENJAMIN JAMES ANDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055670. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 200 Retreat Avenue, Hartford, CT 06106. The current status is active.
| Licensee Name | BENJAMIN JAMES ANDERSON |
| Credential ID | 1367080 |
| Credential Number | 1.055670 |
| Credential Type | Physician/Surgeon |
| Business Address |
200 Retreat Avenue Hartford CT 06106 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-08-29 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1408394 | CSP.0064862 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-02-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 200 RETREAT AVENUE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter M Zeman | 200 Retreat Avenue, Hartford, CT 06106 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jessica Lyn Kluewer-damico | 200 Retreat Avenue, Hartford, CT 06106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Saachi Tarr | 200 Retreat Avenue, Hartford, CT 06114 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jessica Sierra | 200 Retreat Avenue, Hartford, CT 06106 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Daniel Wong | 200 Retreat Avenue, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tilla F Ruser Md | 200 Retreat Avenue, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julia Nelligan | 200 Retreat Avenue, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alfred Herzog | 200 Retreat Avenue, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shilpa Lad | 200 Retreat Avenue, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Salma Malik | 200 Retreat Avenue, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ivor James Benjamin | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | Physician/surgeon | 1984-08-15 ~ 1986-01-31 |
| James B Carrico | 600 Colonel Anderson Pkwy., Louisville, KY 40222 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| James R Anderson II · James R Anderson II Gen Contractor | 19 Bank Street, New Canaan, CT 06840 | Home Improvement Contractor | 1995-06-01 ~ 1996-11-30 |
| Dave Fitzgerald · James M Anderson & Son | 125a Cayuga Ln, Stratford, CT 06614 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Benjamin Stein | 161 Madison Ave, New York, NY 10016 | Physician/surgeon | ~ |
| Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
| Benjamin D Smith | 39 Ives St #108, Hamden, CT 06518 | Physician/surgeon | 2006-01-30 ~ 2007-03-31 |
| Benjamin Katzin | 65 Perkins Rd, Litchfield, CT 06759 | Physician/surgeon | 2009-03-05 ~ 2010-04-30 |
| Sanford H Benjamin | 23 Hoyt St, Stamford, CT 06905 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Alexandr N Rafailov Md | 3 Benjamin Rd, Tenafly, NJ 07670-2617 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).