ERIC C FERGUSON (Credential# 1512632) 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 INACTIVE.
ERIC C FERGUSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067992. 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 5333 Mcauley Dr, Ypsilanti, MI 48197-1014. The current status is inactive.
| Licensee Name | ERIC C FERGUSON |
| Credential ID | 1512632 |
| Credential Number | CSP.0067992 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5333 Mcauley Dr Ypsilanti MI 48197-1014 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2018-05-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1472519 | 1.060566 | Physician/Surgeon | 2018-05-04 | 2018-10-01 - 2019-09-30 | INACTIVE |
| Street Address | 5333 MCAULEY DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1014 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nader Roy Mohtadi | 5333 Mcauley Dr., Ypsilanti, MI 48197 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carl C Blackwood | 5613 Hampshire Lane, Ypsilanti, MI 48197 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Alyssa K Copeland | 8808 Amaranth Lane, Ypsilanti, MI 48197 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Marcie M Moore | 200 W Michigan Ave, Ypsilanti, MI 48197 | Registered Nurse | 2016-04-01 ~ 2017-03-31 |
| Ave Maria College of The Americas | 300 W Forest Ave., Ypsilanti, MI 48197 | Public Charity-exempt From Financial Requirements | ~ |
| Eastern Michigan University Foundation | 1349 S. Huron Street, Ypsilanti, MI 48197 | Public Charity-exempt From Financial Requirements | ~ |
| Opal C Williams | 4125 Hawks Cove, Ann Arbor, MI 48197 | Registered Nurse | 2004-07-12 ~ 2005-08-31 |
| Noreen Taylor | P.o. Box 972271, Ypsilanti, MI 48197 | Licensed Practical Nurse | 1984-05-30 ~ 1991-08-31 |
| Regina M Crincoli | 4855 Lakeridge St, Ypsilanti, MI 48197 | Registered Nurse | 2006-05-25 ~ 2007-07-31 |
| Douglas J Holcomb | 1455 Roosevelt, Ypsilanti, MI 48197 | Electrical Unlimited Journeyperson | ~ |
| Find all Licenses in zip 48197 | |||
| City | YPSILANTI |
| Zip Code | 48197 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + YPSILANTI |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin Ferguson | 91 Chestnut St, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| James F Ferguson Md | 90 Mansion Rd, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Adam Q Ferguson | 863 N Main St Ext, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Caitlin Ferguson | 65 Aunt Hack Rd, Danbury, CT 06811-2720 | Controlled Substance Registration for Practitioner | 2020-06-16 ~ 2021-02-28 |
| Melissa A Ferguson | 81 Grey Rocks Rd, Wilton, CT 06897-4052 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| William B Ferguson M.d. | 94 Wilson Avenue, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Mary Kate Ferguson Pa | 96 Staffordshier Commons, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 1993-11-22 ~ 1995-09-01 |
| Eric Lin | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric J Balaguer Md | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Eric R Scott | 650 Mix Ave Apt 5a, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Please comment or provide details below to improve the information on ERIC C FERGUSON.
| 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).