SPENCER CHURCH (Credential# 1514872) 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.
SPENCER CHURCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068180. 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 20 Hunting Ridge Farms Rd, Branford, CT 06405-6129. The current status is active.
| Licensee Name | SPENCER CHURCH |
| Credential ID | 1514872 |
| Credential Number | CSP.0068180 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 Hunting Ridge Farms Rd Branford CT 06405-6129 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-23 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-31 |
| Street Address | 20 HUNTING RIDGE FARMS RD |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-6129 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Spencer N Church | 20 Hunting Ridge Farms Rd, Branford, CT 06405-6129 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeff E Theis | 21 Hunting Ridge Farms Rd, Branford, CT 06405-6129 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roy E Hitt Jr Md | 115 Spencer Street, Winsted, CT 06098-1194 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel F Reilly Jr. | 21 Spencer Dr, Windsor, CT 06095-2433 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Andrew Szczepanski Md | 115 Spencer St, Winsted, CT 06098 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohammad S Khera | 115 Spencer St Ste 3, Winsted, CT 06098-1141 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick M O'beirne | 314 E Spencer Ln, Galloway, NJ 08205-3256 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Colleen M Cattaneo | 31 Jolicoeur Ave, Spencer, MA 01562 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Richard M Shoup Md | 112 Spencer St, Manchester, CT 06040-4601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Natasha A Spencer Md | 247 Davis St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey V Spencer Md | 820 Bestgate Rd Ste 2c, Annapolis, MD 21401-3404 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Spencer W Rogers | 48 Cleveland Rd, New Haven, CT 06515-2707 | Controlled Substance Registration for Practitioner | 2011-04-20 ~ 2013-02-28 |
Please comment or provide details below to improve the information on SPENCER CHURCH.
| 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).