STEPHEN G ERICKSON (Credential# 151638) 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.
STEPHEN G ERICKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004225. 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 599 Main St, Manchester, CT 06040. The current status is active.
| Licensee Name | STEPHEN G ERICKSON |
| Credential ID | 151638 |
| Credential Number | CSP.0004225 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
599 Main St Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 700975 | 2.005394 | Dentist | 1978-06-17 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 599 MAIN ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George S Caye Dds | 599 Main St, Manchester, CT 06040 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Stuart J Horn | 599 Main St, Manchester, CT 06040 | Dentist | 2016-06-01 ~ 2017-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig S Erickson | 13 Collins Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-27 ~ 2021-02-28 |
| Caitlin E Erickson | 165 Bradley St Second Fl, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michelle L Erickson | 5 Hemingway Rd, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2008-03-07 ~ 2009-02-28 |
| Kaitlin Noelle Erickson | 243 Steele Rd Apt 226, West Hartford, CT 06117-1721 | Controlled Substance Registration for Practitioner | 2019-07-22 ~ 2021-02-28 |
| Laura Erickson Gagne | 58 Youngs Apple Orchard Rd, Northford, CT 06472-1201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carol J Erickson | 48 Country Club Lane, East Granby, CT 06026 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roy V Erickson Md | 85 West Mountain Road, West Simsbury, CT 06092 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Stephen K Wong | New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Stephen F Carolan | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen V Sharnick | York, PA 17404 | Controlled Substance Registration for Practitioner | 2011-07-17 ~ 2013-02-28 |
Please comment or provide details below to improve the information on STEPHEN G ERICKSON.
| 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).