FREDERIC P ANDERSON MD (Credential# 152392) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
FREDERIC P ANDERSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0003163. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 40 Front St, Groton, CT 06340-5718. The current status is inactive.
| Licensee Name | FREDERIC P ANDERSON MD |
| Credential ID | 152392 |
| Credential Number | CSP.0003163 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
40 Front St Groton CT 06340-5718 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 540003 | 1.011451 | Physician/Surgeon | 1963-09-24 | 2012-12-01 - 2013-11-30 | INACTIVE |
| 981308 | CSP.0049535 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-01-19 | 2011-01-19 - 2013-02-28 | INACTIVE |
| Street Address | 40 FRONT ST |
| City | GROTON |
| State | CT |
| Zip Code | 06340-5718 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frederic R Keifer | P.o. Box 82, Bloomfield, CT 06002 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Frederic Kalishman | 93 Old Highway, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Frederic S Mackler Dmd | 415 North Farms Road, Florence, MA 01062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy L Anderson | 607 E Main St, Meriden, CT 06450-6066 | Controlled Substance Registration for Practitioner | 2019-04-24 ~ 2021-02-28 |
| Jay Anderson | 80 Shunpike Rd, Cromwell, MN 06416 | Controlled Substance Registration for Practitioner | 2019-03-25 ~ 2021-02-28 |
| Carl E Anderson Dds | 22 Fleetwood Rd, Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sharon J Anderson Md | 374 Grand Ave, New Haven, CT 06513-3733 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Gustav W Anderson Md | 30 Clark Dr, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 1993-05-26 ~ 1995-06-01 |
| Yvonne D Fasone Pa | 167 Anderson Rd, Sprakers, NY 12166-4301 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Chelsea Anderson | 208 Neck Rd, Madison, CT 06443-2720 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on FREDERIC P ANDERSON MD.
| 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).