KRISTEN F HENDERSON (Credential# 1442731) 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.
KRISTEN F HENDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066599. 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 559 Coventry Drive, Nutley, NJ 07110. The current status is active.
| Licensee Name | KRISTEN F HENDERSON |
| Credential ID | 1442731 |
| Credential Number | CSP.0066599 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
559 Coventry Drive Nutley NJ 07110 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1433798 | 12.007169 | Advanced Practice Registered Nurse | 2017-08-14 | 2020-01-01 - 2020-12-31 | ACTIVE |
| 1200896 | 10.116109 | Registered Nurse | 2014-01-21 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 559 Coventry Drive |
| City | Nutley |
| State | NJ |
| Zip Code | 07110 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carl Frank Nastasi | 120 Hawthorne Ave, Nutley, NJ 07110 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Yatish Sharma | 27 Evergreen Avenue, Nutley, NJ 07110 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Nicole Manfria | 42 Conover Ave, Nutley, NJ 07110 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Syed M Hasan | 219 Bloomfield Ave, Nutley, NJ 07110 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Zorangel Figueroa | 51 Monsignor Owens Place, Nutley, NJ 07110 | Notary Public Appointment | 2017-10-03 ~ 2022-10-31 |
| Isobo D Erekeosima | 636 Passaic Ave., Nutley, NJ 07110 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Sherri Ferrara | 108 Passaic Avenue, Nutley, NJ 07110 | Real Estate Salesperson | ~ |
| Monet Builders Inc | 234 Franklin Ave, Nutley, NJ 07110 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Alkies Lapas Do | 85 Franklin Avenue, Nutley, NJ 07110 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dale M. Scrudato | 59 Nutley Ave., Nutley, NJ 07110 | Crane Operator Apprentice | 2009-07-10 ~ 2011-07-09 |
| Find all Licenses in zip 07110 | |||
| City | Nutley |
| Zip Code | 07110 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Nutley |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee W Henderson Md | Po Box 37, South Kent, CT 06785 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Nikole J Henderson Pa-c | 38 Gallup Ln, Waterford, CT 06385-2242 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wenting Hou Aprn | 20 Henderson Dr., Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2011-05-05 ~ 2013-02-28 |
| Sharon Henderson Od | Lenscrafters, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brooke F Henderson Pa-c | 24 Ash Dr, Gales Ferry, CT 06335-1702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pamela R Henderson | 299 Carew St Ste 400, Springfield, MA 01104-2361 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hilliard Spitz Md | 17 Henderson Rd, New London, CT 06320 | Controlled Substance Registration for Practitioner | 1993-01-06 ~ 1995-02-01 |
| Lisa M Henderson | 172 Underhill Ave, West Harrison, NY 10604-2435 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shasta E Henderson | 6 Barnett Street, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Maryellen C Silva Aprn | 141 Henderson Rd, Fairfield, CT 06824-4940 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on KRISTEN F HENDERSON.
| 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).