BENTLEY ANDREW STROCKBINE (Credential# 1440508) 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.
BENTLEY ANDREW STROCKBINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066468. 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 18 Haskins Rd, Windsor, CT 06095-4768. The current status is active.
| Licensee Name | BENTLEY ANDREW STROCKBINE |
| Credential ID | 1440508 |
| Credential Number | CSP.0066468 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
18 Haskins Rd Windsor CT 06095-4768 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1425557 | 1.056810 | Physician/Surgeon | 2017-08-01 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 18 HASKINS RD |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-4768 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dianne C Sullivan | 10 Haskins Rd, Windsor, CT 06095-4768 | Marital and Family Therapist | 2017-06-01 ~ 2018-05-31 |
| Ashley N Wilkins | 7 Haskins Rd, Windsor, CT 06095-4768 | Real Estate Salesperson | 2014-06-01 ~ 2015-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
| Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
| Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06095 | |||
| City | WINDSOR |
| Zip Code | 06095 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINDSOR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia W Bentley | 183 Bay Rd, Hadley, MA 01035-9793 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Mari Bentley | 1 Main St Ste N1, Hartford, CT 06106-1806 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Adrienne M Bentley | 68 Carter Dr, Stamford, CT 06902-7013 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard R Forest Md | 157 Bentley Circle, Goshen, CT 06756 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Christopher Bentley | Marlborough Family Practice, Marlborough, CT 06447 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew Kornstein Md PC | 539 Danbury Rd, Wilton, CT 06897-2216 | Controlled Substance Registration for Practitioner | 2015-11-12 ~ 2017-02-28 |
| Andrew D Stiles | 201 Ann St Apt 305, Hartford, CT 06103-2000 | Controlled Substance Registration for Practitioner | 2015-07-27 ~ 2017-02-28 |
| Andrew D Pearle | 390 Forest Ave, Rye, NY 10580-3613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew B Kirk Pa | 31 River Rd, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Andrew Cha | 24 Hospital Ave, Danbury, CT 06810-6077 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
Please comment or provide details below to improve the information on BENTLEY ANDREW STROCKBINE.
| 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).