ROY V ERICKSON MD (Credential# 158912) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
ROY V ERICKSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017126. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 85 West Mountain Road, West Simsbury, CT 06092. The current status is inactive.
| Licensee Name | ROY V ERICKSON MD |
| Credential ID | 158912 |
| Credential Number | CSP.0017126 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
85 West Mountain Road West Simsbury CT 06092 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 543080 | 1.019569 | Physician/Surgeon | 1977-08-24 | 2010-03-01 - 2011-02-28 | INACTIVE |
| 187138 | CSP.0026277 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-04-20 - 1999-02-28 | INACTIVE | |
| 188804 | CSP.0026244 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-10-30 - 1998-02-28 | INACTIVE |
| Street Address | 85 WEST MOUNTAIN ROAD |
| City | WEST SIMSBURY |
| State | CT |
| Zip Code | 06092 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard E Schoenhardt | 7 Pasture Ln, W Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Agnes M Walsh | 202 Farms Village Road, West Simsbury, CT 06092 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Theodore C Hsu | 22 Fox Den Road, West Simsbury, CT 06092 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Keith R Epstein | 34 Fox Den Rd, Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Laura L Nelson | 109 Hedgehog Lane, West Simsbury, CT 06092 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Kathryn P Rothstein | 7 Sachems Trail, West Simsbury, CT 06092 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Timothy M Parker | 14 Cedar Hill Rd, West Simsbury, CT 06092 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Teresa Pfau St Denis | 55 Wildwood Rd, W Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jennifer R Martocchio | 6 Counrty Club Drive, West Simsbury, CT 06092 | Real Estate Salesperson | ~ |
| Felipe R Segura | 370c West Mountain Road, West Simsbury, CT 06092 | Real Estate Salesperson | 2020-06-10 ~ 2021-05-31 |
| Find all Licenses in zip 06092 | |||
| City | WEST SIMSBURY |
| Zip Code | 06092 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST SIMSBURY |
| 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 |
| Stephen G Erickson | 599 Main St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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 |
| Carol J Erickson | 48 Country Club Lane, East Granby, CT 06026 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 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 |
| John C Erickson | 237 Meadowbrook Rd, Fairfield, CT 06430 | Home Improvement Contractor | ~ 1995-08-01 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Please comment or provide details below to improve the information on ROY V ERICKSON 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).