FRANK J BUSH (Credential# 157461) 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.
FRANK J BUSH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019657. 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 27 Hilliard St, Manchester, CT 06042. The current status is active.
| Licensee Name | FRANK J BUSH |
| Credential ID | 157461 |
| Credential Number | CSP.0019657 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
27 Hilliard St Manchester CT 06042 |
| 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 |
|---|---|---|---|---|---|
| 542074 | 1.016809 | Physician/Surgeon | 1974-07-26 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 27 HILLIARD ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica L Giller | 27 Hilliard St, Manchester, CT 06042-3001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eileen M Bush Od | 360 State Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Amy A Bush | 9198 Fair Oak Dr, Sherrills Ford, NC 28673-7288 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Michael B Blotner Md | 4 Ploughmans Bush, Bronx, NY 10471-3907 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hubert S Bush Jr | 251 High Meadow La., Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ivelisse Rivera-godreau Md | 331 Bush Hill Rd, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carl Gage Bush Jr | 77 Butterworth Drive, Attleboro, MA 02703 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Mary E Baldino Aprn | 20 Spice Bush Lane, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Colleen Bridget Fleming-damon | 121 Brimstone Hill Rd, Pine Bush, NY 12566-5470 | Controlled Substance Registration for Practitioner | 2019-10-15 ~ 2021-02-28 |
| Frank Y Han | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-01-17 |
| Ben M Frank Dds | 105 Newtown Rd Ste G, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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| 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).