DAVID K HERGOTT (Credential# 155130) 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.
DAVID K HERGOTT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013532. 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 77 Johnson Lane, Durham, CT 06422. The current status is active.
| Licensee Name | DAVID K HERGOTT |
| Credential ID | 155130 |
| Credential Number | CSP.0013532 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
77 Johnson Lane Durham CT 06422 |
| 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 | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 701613 | 2.006680 | Dentist | 1985-07-13 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 77 Johnson Lane |
| City | Durham |
| State | CT |
| Zip Code | 06422 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Atkinson | 77 Johnson Lane, Durham, CT 06422 | Notary Public Appointment | 2009-09-01 ~ 2014-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan A Luysterborghs | 208 Blue Hills Road, Durham, CT 06422 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Trinh Tu Tran | 10 Cesca Lane, Durham, CT 06422 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Beseck Mountain Rescue Inc | 68r Middlefield Road, Durham, CT 06422 | Public Charity-exempt From Financial Requirements | 2007-10-15 ~ |
| Mary E Gossart | 35 Maiden Lane, Durham, CT 06422 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Jayshreebahen Bidja · Little Rooster Liquors | 363 Main St, Durham, CT 06422 | Package Store Liquor | 2020-08-09 ~ 2021-08-08 |
| Erica Espinoza | 163 Stage Coach Rd, Durham, CT 06422 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Adrienne Lynn Deschnow | 419 R Johnson Lane, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lynda S Collins · Robison | 649 Wallingford Road, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pierino Peter Cascini | 425 Main Street, Durham, CT 06422 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Leila K Markunas | 250 Skeetclub Road, Durham, CT 06422 | Massage Therapist | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06422 | |||
| City | Durham |
| Zip Code | 06422 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Durham |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| G Allen Hergott Dds | 213 East Main St, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 1993-10-25 ~ 1995-10-01 |
| David F Lee Dds | 521 3rd Ave Apt 2, New York, NY 10016-4747 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| David A Williams | David Williams Aprn, Danbury, CT 06488 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Cone Md | 58 Middletown Ave, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2003-07-02 ~ 2004-02-28 |
| David P Nocek Md | David Nocek, Greenwich, CT 06831-5100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David H Hsi | Po Box 9317, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Poppel Md | 113 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| David Burchenal | 213 Elm St, Stonington, CT 06378-1165 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David J Lachance | Po Box 248, Woodstock, CT 06281 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David A. Petti Dds | 9 Hill St, Rye, NY 10580-2601 | Controlled Substance Registration for Practitioner | ~ |
Please comment or provide details below to improve the information on DAVID K HERGOTT.
| 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).