PRESTON HANSEN (Credential# 1443607) 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.
PRESTON HANSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066616. 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 25 Hazard Ave, Enfield, CT 06082-3725. The current status is active.
| Licensee Name | PRESTON HANSEN |
| Credential ID | 1443607 |
| Credential Number | CSP.0066616 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
25 Hazard Ave Enfield CT 06082-3725 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-01-31 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1501719 | 2.012153 | Dentist | 2018-04-12 | 2019-05-01 - 2020-04-30 | ACTIVE |
| 1487451 | 2.011969-RES | Resident Dentist | 2017-07-01 | 2017-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 25 HAZARD AVE |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-3725 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Petco Store #1818 | 25 Hazard Ave, Enfield, CT 06082-3725 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Chong Yon Kim | 25 Hazard Ave, Enfield, CT 06082-3725 | Controlled Substance Registration for Practitioner | 2019-07-16 ~ 2021-02-28 |
| Chick-fil-a Enfield #3432 | 25 Hazard Ave, Enfield, CT 06082-3725 | Frozen Dessert Retailer | 2020-01-01 ~ 2020-12-31 |
| Bruce M Persohn · Aldi | 25 Hazard Ave, Enfield, CT 06082-3725 | Grocery Beer | 2019-09-19 ~ 2020-09-18 |
| Aldi Foods #44 | 25 Hazard Ave, Enfield, CT 06082-3725 | Operator of Weighing & Measuring Devices | 2019-08-01 ~ 2020-07-31 |
| Old Navy #3371 | 25 Hazard Ave, Enfield, CT 06082-3725 | Non Legend Drug Permit | 2013-01-01 ~ 2013-12-31 |
| Officemax #290 | 25 Hazard Ave, Enfield, CT 06082 | Non Legend Drug Permit | 2006-01-01 ~ 2006-12-31 |
| Service Merchandise Co Inc | 25 Hazard Ave, Enfield, CT 06082 | Closing Out Sale | 1997-04-27 ~ 1997-07-27 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Herbert J. Hansen | Po Box 1236, La Crosse, WI 54602-1236 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Elnora V P Maxwell Md | 676 Hansen Rd, St Auguistine, FL 32086 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kristopher W Hansen Dvm | 87 Laurel St, Stratford, CT 06615-7902 | Controlled Substance Registration for Practitioner | 2019-03-08 ~ 2021-02-28 |
| Timothy E Hansen | 35 State St, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Barry R Hansen | 350 Cascade Dr, Fairfield, CT 06432 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Jessica K Hansen | 35 State St, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul J Werdell Od | 49 Hansen Dr, Vernon, CT 06066-5914 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Catherine A Hansen Md | 42 Split Rock Ln, New Rochelle, NY 10804-3438 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Luke O Hansen Md | 40 Lyon Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Stephanie D Stewart | 25 Hansen Drive, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PRESTON HANSEN.
| 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).